Patient Information

Insurance

Privacy

Patient Information Forms

Forms in this section are for your first visit or when you need a re-assessment.

PATIENT INFORMATION

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PATIENT-HISTORY

Size: 38.27 KB
Date modified: 21-04-2019
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Intake-Paperwork

Size: 313.27 KB
Date modified: 21-04-2019
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FUNTIONALSKILLS

Size: 49.91 KB
Date modified: 21-04-2019

Insurance

Forms relating to your insurance coverage are located in this section.

INSURANCE

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ASSIGNMENTOFINSURANCE

Size: 37.96 KB
Date modified: 21-04-2019

Privacy 

Forms relating to the Lee Miller Rehabilitation Privacy Policy are located in this section. 

PRIVACY

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NOTICE-OF-PRIVACY-PRACTICES1

Size: 63.97 KB
Date modified: 21-04-2019
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Lee_Miller_Breach_Notification

Size: 82.51 KB
Date modified: 21-04-2019

Get in Touch

Catonsville: (443) 860-9168

Owings Mills: (410) 363-0015

info@leemillerrehab.com

 

Open Hours

Mon - Fri — 8:30am - 6:00pm
Saturday — 8:30am - 6:00pm
Sunday — 8:30am - 1:00pm

Catonsville

2 East Rolling Crossroads, Suite 57
Catonsville, MD  21228
(443) 860-9168

Owings Mills

20 Crossroads Drive, Ste 13
Owings Mills, MD  21117
(410) 363-0015

Lee Miller Rehab - Catonsville

2 East Rolling Crossroads, Ste 57
Catonsville, MD 21228


Lee Miller Rehab - Owings Mills

20 Crossroads Drive, Ste 13
Owings Mills, MD 21117