Patient Intake Forms

Patient Intake Forms

If you and your child are ready to take the next step and schedule an appointment at our rehabilitation center here at Building Blocks Rehab, there are several new patient forms you can fill out before your appointment to help shorten your time spent with paperwork at our facility. Below, you'll find links to new patients forms available for download and printing. If you have any questions about scheduling or any of the forms attached below, please don't hesitate to contact our team at (907) 374-4911 today!

New Patient Forms

Please click the button below to download the intake paperwork!

Intake Packet Download

OR

Please click the link below to fill out the intake paperwork online!

Intake Packet Online

Billing and Insurance

As a courtesy to the families we serve, Building Blocks will file insurance claims for all clients whose medical policy covers the desired services (OT, PT, and/or ST)

We accept most major insurances, including Medicaid (including Denali Kidcare and Tefra) and Tricare.

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