Patient Forms

Bay City Rehab & Wellness offers our patient form(s) online so you can complete it in the convenience of your own home or office.


Insurance Form

Fill Out Form


Personal Injury Form

Fill Out Form


Barry Work Comp

Fill Out Form


General Patient Forms

Fill Out Form


Worker's Compensation Injury Forms

Download & Print Form

  • 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) to 813-874-2656 or bring it with you to your appointment.


  • Download the Free AdobeReader®

    Office Hours

    Monday

    8:00 am - 1:00 pm

    2:00 pm - 7:00 pm

    Tuesday

    9:00 am - 12:30 pm

    1:30 pm - 6:00 pm

    Wednesday

    8:00 am - 1:00 pm

    2:00 pm - 7:00 pm

    Thursday

    9:00 am - 12:30 pm

    1:30 pm - 6:00 pm

    Friday

    8:00 am - 7:00 pm

    Saturday

    9:00 am - 12:00 pm

    Sunday

    Closed

    Monday
    8:00 am - 1:00 pm 2:00 pm - 7:00 pm
    Tuesday
    9:00 am - 12:30 pm 1:30 pm - 6:00 pm
    Wednesday
    8:00 am - 1:00 pm 2:00 pm - 7:00 pm
    Thursday
    9:00 am - 12:30 pm 1:30 pm - 6:00 pm
    Friday
    8:00 am - 7:00 pm
    Saturday
    9:00 am - 12:00 pm
    Sunday
    Closed