University of Connecticut University of UC Title Fallback Connecticut

Forms

All new patients must complete a patient intake form, and one form specific to your pain area.  Please download the necessary forms for your initial visit.  Then print, complete, and bring them with you to your first visit.  It is essential that all forms are completed prior to your appointment as this will expedite the check-in process.  Please click the link below to be directed to UConn Health Department of Rehabilitation.

Patient Intake Forms