OSF St. Joseph Medical Center

Appointments & Forms

Appointment Information

  • Please bring your photo ID and insurance card with you to your first appointment.
  • Wear loose, comfortable clothing.


It is important that you, the patient, are involved in setting the treatment plan and goals (working with the therapist).

Attendance is essential to achieving your goals. If you are unable to attend a scheduled appointment, please call to reschedule. If you “no show” for two appointments, you may be discharged from therapy.


Balance and Dizziness Questionnaire (PDF - 105.9 KB)

Cancer Rehabilitation Intake Form (PDF - 436.6 KB)

Incontinence and Pelvic Floor Questionnaire (PDF - 85.6 KB)