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Express Patient Registration
We make it easy for you to register for care by having you complete a minimum amount of paperwork. Please print and fill out the following forms, and bring a valid photo I.D. with you on the first visit.

1. Express Registration form

2. Pre-Exam form

3. Assignment of Insurance Benefits form
(Optional. If you want us to deal directly with your insurance company)





** Please take the time to print and fill out the new patient form relating to the body area that is bothering you.

1. Low Back

2. Neck

3. Hip, Knee or Leg

4. Hand, Arm or Shoulder
   








 

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Physical therapy clinics located throughout the Chicago area.

Headquarters:
Advanced Rehabilitation Clinics, Inc.
533 W. North Ave. Suite 202, Elmhurst IL 60126


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