For Patients

Thank you for choosing the IU Health Rehabilitation and Sports Medicine Center for your care.  The links below will provide more information about insurance accepted at our center as well as our welcome packet and forms you’ll need for your first visit.


Insurance

The IU Health Rehabilitation and Sports Medicine Center accepts most major insurance plans and may be able to assist you in verifying coverage.  A physician referral is required for all of our therapy services.  Many of our sports performance programs, however, do not need a referral.

If you do not have insurance or may be underinsured, please contact the IU Health Individual Solutions office in Bloomington.  The representatives at Individual Solutions will discuss your situation with you and help connect you with insurance coverage options that may be appropriate for you.  Call Individual Solutions at 812.353.2020.

Welcome packet

Before you visit one of our centers for your first appointment, we encourage you to review our welcome packet.  This will provide you with additional information about our services, programs and the patients for whom we care.

Forms

To help expedite the check-in process during your first appointment, we ask that you complete these forms and bring them with you to your appointment.  Each form is described below.  Click here to open and print the forms.

Patient Information

Please read over both sides of this form and sign and date. This form has important information regarding our Cancellation/No Show policy and the hospital's billing process. You will be given a copy of this form upon check out after your first appointment.

Patient Intake

Please complete this form answering the questions as related to your current condition. There is a place for you to sign and date on the last page. If the patient is under the age of 18, this form must be signed by a parent/guardian.

Consent for Treatment

Please read over both sides of this form and sign and date. If the patient is under the age of 18, this form must be signed by a parent/guardian.

On the first page of this form, you have the option to be included in the hospital’s directory. Please look over this section carefully. If you choose to be included, we can acknowledge that you are in our facility. It does not mean we can or will provide any personal or medical information about you.

If you choose not be included in the directory, if someone calls in an attempt to reach you, we cannot acknowledge that you are in the facility. We would have to tell the caller "We are unable to give out any information.”