Important Forms

Intake Form
Before your initial appointment with Salem Rehabilitation Associates, please fill out our intake form, which will ask you detailed information about the condition for which you are seeing one of our specialists. By completing the form before your first visit, we can more easily streamline your treatment.

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Download and Print Form


Release of Medical Records
If you would like a copy of your medical records, you must first authorize for its release by completing the above form, which can be printed and then mailed or faxed to us.

Print Release of Medical Records Form

If, at any time, you have questions regarding the completion of these important forms, please call us.


Notice of Privacy Practices
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