43 South Main St.
Montgomery, PA 17752
Phone: (570) 547-0480
Fax: (570) 547-0498
valleyrehab@alltel.net

 
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Coming to Valley Rehab for the first time? 
Here's everything you need to know to make your first visit pleasant.


WHAT TO EXPECT:

All new patients at Valley Rehabilitation should expect to spend about an hour with the therapist during their first appointment. During this time, the therapist will obtain information from you by asking questions and performing special evaluative tests. This information will be used to build your customized treatment program, and at the end of your treatment program the initial information will be used to determine how much progress you have made.

The link below will take you to our intake form and privacy information. To save time, please feel free to print these pages and fill in as much information as possible before you come to your first appointment. If you are unable to do this, please arrive at our clinic approx 15 minutes before your scheduled time to complete this paperwork. If you wish to read the unabridged version of Valley Rehabilitation’s privacy notice, it is available upon request.

Privacy Policy (PDF Format)
General Intake Form (PDF Format)
Pediatric Intake Form (PDF Format)

 

WHAT TO BRING WITH YOU:

  • All health insurance cards that you have

  • A list of all prescription and non-prescription medications that you take

  • A physician’s prescription if you have one. (If you would like to print our prescription and take it to your physician, a link is provided below.)

If you will be receiving physical therapy for your leg or knee, it would be helpful to bring shorts to your appointment. If you will be receiving physical therapy for your arm or shoulder, it would be helpful to wear a short sleeve or sleeveless shirt. Medical gowns are available if necessary for treatment to the back or neck.

If your child has a walker, orthotics or braces, please bring them with you to the evaluation. What to bring to later appointments will be discussed during the evaluation.

Prescription Form (PDF Format)