New Patient Forms

New Patient Forms

Want to save 20 minutes on your first visit?

Please print or download our office forms below.

Filling your forms out before your appointment is a great time saver!

Worker’s Compensation Intake:  
Major Medical/Medicaid/Medicare Intake:  
Personal Injury Intake:  

Like Us

Office Hours

DayMorningAfternoon
Mon9:00am - 1:00pm2:00pm - 6:00pm
Tue9:00am - 1:00pm2:00pm - 6:00pm
Wed9:00am - 1:00pm2:00pm - 6:00pm
Thu9:00am - 1:00pm2:00pm - 6:00pm
Fri9:00am - 1:00pmClosed

Buckeye Physical Medicine and Rehab

6100 E Main St #110
Columbus, OH 43213

Phone: (614) 755-7700
Fax: (844) 308-1086
Map and Directions

Tune in to Our Radio Show

radio show