New Patient Forms

All new patients need to print the following Billing Information form in addition to the patient forms below:


Physical Therapy

If you are seeing a therapist for one of the following areas, our office will give you the proper forms for the initial evaluation forms at your first appointment:

  • Ankle
  • Knee
  • Hip
  • Lumbar
  • Vestibular
  • Shoulder
  • Elbow
  • Wrist

If you are seeing a therapist for one of the following conditions, please print and complete the questionnaire and bring it with you to your first appointment:

  • Pre/Post-partum Questionnaire
  • Incontinence Questionnaire
  • Constipation Questionnaire
  • Pelvic Pain Questionnaire

Notice of Privacy Practices


Forms are in PDF format and require Adobe Acrobat Reader. If you do not have the Acrobat Reader click the icon below:
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You may find this overview helpful as you begin to research a facility, physician, or procedure.  Our Practice Brochure can answer many initial questions our patients have.

Orthopedics & Sports Medicine

Our highly experienced and regarded orthopedic surgeons specialize in the diagnosis and treatment of disorders that affect bones, joints, muscles, cartilage, ligaments and nerves of the extremities and spine. They are proud to be affiliated with both St. Mary Mercy Hospital and St. John Macomb Hospital..

Back, Neck & Spine

You’ll have the advantage of the latest surgical and non-surgical procedures in back and neck pain. A team approach to your spinal problems may include physical therapy, medication, exercise, weight loss and therapeutic spinal injections. Additionally, we offer the area’s best orthopedic spine surgeons for repair or reconstruction of structural disorders.

Pain Management

The pain management / physical medicine and rehabilitation physicians at Mendelson Kornblum have a tremendous amount of experience and knowledge regarding pain-relieving techniques and treatments. Areas of specialty include back pain, neck pain, herniated discs, pinched nerves, post-surgical pain, cancer-related pain, musculoskeletal injuries, and rehabilitation for back and neck injuries. If you have acute or chronic pain that affects your mobility and ability to function, Mendelson Kornblum Orthopedics can help restore your quality of life.

Physical Therapy

Our rehabilitation approach complements your surgeon’s intervention with continual sharing of diagnostic information that can help promote a speedy recovery. In addition, due to our exclusive dedication to orthopedic conditions, we have developed many techniques that can significantly reduce the amount of pain during your rehabilitation.