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Bringing healing close to home.

New Patient Info

To register or make an appointment for physical or occupational therapy rehabilitation you must obtain a referral from your family doctor, nurse practitioner, dentists, podiatrist or chiropractor. Click here to find a clinic location nearest you. When calling, please inform our staff of the type of health insurance you have so we can verify and assure your coverage for your upcoming visit. You may print and fill-out new patient forms from the link below, or request that we e-mail our initial visit forms so that you may have them filled out and bring them with you for your first visit.

Download: New Patient Intake FormDownload: Financial Policy

Ala Carte / Cash Pay

These services are currently only offered in our Mayville location. To make an appointment for one of our offered ala carte services, call (920)922-7776 today.  Click here to find our Mayville Clinic.  You may print and fill-out new patient forms from the link below, or request that we e-mail our initial visit forms so that you may have them filled out and bring them with you for your first visit.

Download: Ala Carte / Cash Pay MenuDownload: Ala Carte / Cash Pay Agreement Form

Personal Training

To register or schedule an appointment for personal training, or if you have questions, please call (920)922-7776 today! Once you have an appointment set up with one of our trainers, please fill out the forms below and bring them to your first session. For More information on our personal training services, please visit our “What We Do” page.

Download: Personal Training Intake Form

Physical Therapy Screening

To register or schedule an appointment for a physical therapy screen, or if you have questions, please call (920)922-7776 today! Once you have an appointment set up at one of our locations, please fill out the forms below and bring them to your appointment. For More information on our physical therapy screen, please visit our “What We Do” page.

Download: Physical Therapy Screening Forms

TeleHealth Resources

Back in Action Rehab is now conducting telehealth visits with all of our therapists in all clinic locations. Read through these resources before your first telehealth appointment to make sure that you have the proper equipment and will have a good virtual visit with your therapist.

Download: How to have a Good Telehealth VisitDownload: BIA Telehealth Visit Permission to Treat

Total Joint Questions and Answers

Do you have a joint replacement coming up? Here are some frequently asked questions that we receive from patients regarding their total joint replacements to better prepare you for your surgery and for the recovery process after.

Downlaod: Total Joint Information Page