 
Thank you for choosing us for your rehabilitation needs. It is our pleasure to serve you. In order to make your first visit go smoothly, please see the information below:
- Wear comfortable clothing and plan to arrive 10 minutes before your evaluation appointment
- Bring your physician's prescription form (and/or Referral Form if required by your insurance)
- Bring your insurance card and photo identification
- Download, print and complete the forms below
 Registration Forms
Medicare Eligibility Form (For Medicare patients only)
Forms require Adobe Reader
Many insurance plans not on this list may be approved for various specialty services. To obtain more specific
information about your insurance, please call your insurance company for clarification.
Aetna (all products, including Medicare products)
Alliance (including GEHA)
Amerigroup (DC & MD)
Blue Choice HMO/POS (all products)
CareFirst BCBS (Indemnity and PPO: BluePreferred, FEP Standard & Basic)
Care First BCBS of Maryland (Indemnity and PPO)
Community Care Network (CCN) PPO
Cigna PPO
Cigna HMO (OT & Speech only)
DC Chartered Health Plan
First Health
Helix Family Choice |
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Kaiser Permanente (all products excluding Medicare products)
MAMSI Life and Health
Maryland Health Insurance Plan (MHIP)
MDIPA & MDIPA Preferred HMO/POS
Medicare, Part A & B
National Capital Preferred Provider Organization (NCPPO)
Optimum Choice & Optimum Choice Preferred HMO/POS
Private Healthcare Systems (PHCS) PPO
Tricare/Healthnet (including Tricare Prime, Standard and Extra)
United Healthcare (National) (all products)
United Healthcare of the Mid-Atlantic (all products except United Family First-AmeriChoice) |
Workers’ Compensation Clients are accepted at most NRH Regional Rehab locations. |