New Patient Paperwork

Health and Rehab Solutions offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Monday
8:00am - 1:00pm
3:00pm - 6:00pm


Tuesday
8:00am - 1:00pm
3:00pm - 6:00pm


Wednesday
8:00am - 1:00pm
3:00pm - 6:00pm


Thursday
3:00pm - 6:00pm


Friday
8:00am - 1:00pm
3:00pm - 6:00pm


Saturday & Sunday
Closed

Health and Rehab Solutions
514 East George Washington Boulevard
Davenport, IA 52803
(563) 324-3333