Have an upcoming appointment at Rehab Services of St. Croix?
Please take a moment to fill out and submit your registration form.
Option 1: Submit this online Patient Registration Form.
Option 2: Print, complete and bring the following with you to your appointment.
- Rehab Services Patient Info – Please fill out completely
- Consent form – Please read and Sign and Date confirming that you give your consent
- Medication List – Please list all medications you are currently taking
Important! Please remember to have your insurance card(s) and a photo ID with you the day of your first visit.
Please contact us via email firstname.lastname@example.org or call 340.201.4248