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Outpatient Rehabilitation

Registration Forms

Thank you for choosing to attend Outpatient Therapy. 

In order to facilitate the registration process at our outpatient rehabilitation facilities, we recommend you print off the forms below, fill them out before your evaluation and bring them to your appointment. If you have not yet scheduled your evaluation, please call 910-452-8104 for an appointment or more information.

Forms for Adult Patients going to Independence Rehabilitation or Oleander Rehabilitation

Form for Pediatric Patients going to Oleander Rehabilitation

Oleander Rehabilitation map
5220 Oleander Dr.
Wilmington, NC 28403

•  Patient Registration Forms

2131 S. 17th Street, Wilmington, NC 28401  |  910.343.7000