Burleigh Health Center & Rehab, P.L.L.C. offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download New Patient Form



Download the Free AdobeReader®

Location

HOURS OF OPERATION

Main Hours

Monday

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Tuesday

Closed

Wednesday

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Thursday

Closed

Friday

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Saturday

Closed

Sunday

Closed

Rehabilitation Hours

Monday

9:00 am - 4:00 pm

Tuesday

9:00 am - 4:00 pm

Wednesday

9:00 am - 4:00 pm

Thursday

Closed

Friday

9:00 am - 4:00 pm

Saturday

Closed

Sunday

Closed

Main Hours

Monday
9:00 AM - 1:00 PM 2:00 PM - 6:00 PM
Tuesday
Closed
Wednesday
9:00 AM - 1:00 PM 2:00 PM - 6:00 PM
Thursday
Closed
Friday
9:00 AM - 1:00 PM 2:00 PM - 6:00 PM
Saturday
Closed
Sunday
Closed

Rehabilitation Hours

Monday
9:00 am - 4:00 pm
Tuesday
9:00 am - 4:00 pm
Wednesday
9:00 am - 4:00 pm
Thursday
Closed
Friday
9:00 am - 4:00 pm
Saturday
Closed
Sunday
Closed