Serving clients in MA, FL, TN, VA, NH and TX. Learn More

Patient Forms

An African American couple sitting on a couch reviewing health insurance information and physician bills

Welcome to Imago Rehab. Below are a number of forms that will help you get ready for your treatment with Imago. If you have any questions at all, please don’t hesitate to call us at 888-855-2674 or email us at [email protected].

Preparing for your visit

Preparing for your visit

For Patients looking to learn more about Imago

For patients ready to get started with Imago

  • Click here to access new patient intake form and our intake team will begin the process of validating your insurance coverage.

For patients preparing for their first appointment

  • Please make sure you have completed our video intake process which allows us to monitor your progress over time. Access that video intake here.
  • In addition, please make sure you have reviewed, and where applicable, signed the forms below. If there is a form that you have not yet signed, you can click on the link and it will generate an email to our patient intake team.

General policies

Consents & Agreements (signature required)


Our Mission & Vision

Our Mission & Vision

Imago Rehab’s mission is to help individuals with physical impairment due to a neurological condition, improve function and restore independence to through accessible, evidence-based care.

Our vision is to revolutionize stroke rehabilitation by offering a platform that combines telerehabilitation, innovative robotic devices, and an integrated care team to enable superior recovery outcomes.

It’s time to get your body working again.

Simply complete our online request form and one of our intake coordinators will contact you within one business day.