Eastside Sports Rehabilitation ClinicEastside Sports Rehabilitation Clinic Patient Registration PLEASE PRINT Nature of Injury/Symptom Whom may we thank for referring you to this office?Primary Care Physician _____ … Retrieve Full Source Marquette Sports Rehabilitation ClinicMarquette Sports Rehabilitation Clinic As a patient, you have the right to: ? Privacy and confidentiality regarding your medical care. ? Expect that your medical records will be kept confidential and that access to information about you will be limited to those legitimately involved in your … Read Content Eastside Sports Rehabilitation ClinicEastside Sports Rehabilitation Clinic . Name_____ Referring Doctor _____Date_____ Age____ Sex ___ Height _____ Weight_____ Shoe Size ___ Shoe Type_____ … Fetch This Document Read more... ...