New Patient Paperwork

Pinnacle Physical Medicine and Rehab offers our patient form online so they can be completed in the convenience of your own home or office.

The below forms are PDF files for you to download, print, and complete before your appointment.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
8:30am - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
8:30am - 6:00pm


Thursday
2:00pm - 6:00pm


Friday
8:30am - 12:00pm


Saturday
Closed


Sunday
Closed

*Please call before walking in to make sure we have room to see you.

Pinnacle Physical Medicine and Rehab
2605 Jenkins Road #2
Chattanooga, TN 37421
(423) 855-5053