Associates In Medical Rehabilitation PA 

Peter S. Schreiber D.O. FAAPMR

Call Us: (239) 437 - 9313

New Patient paperwork:

Please print, complete and bring in to office at first appointment. Thank you.

  1. Patient registration
  2. Patient Medical History
  3. HIPAA
  4. Opiate Agreement
  5. Authorization for Treatment
  6. Consent to Disclose Medical Information RX Pick-Up Authorization

Please review at your convenience: