Registration
Thank you for choosing Fall Injury Prevention and Rehabilitation Services LLC. I look forward to serving you with exceptional care. For your convenience, you may complete new client forms in advance. Please select and print the new client packet below. Fill all forms out completely and bring them with you to your scheduled appointment. If you are not able to complete the forms before your visit, please arrive at least 30 minutes early for the completion of client paperwork before you see the nurse practitioner.
Please bring the following items to your appointment:
- Current Medication List - Please bring the medication list you are currently taking, including prescription, over-the-counter, and herbal medications.
- Personal Identification - Be sure to have a valid driver's license or other form of photo ID
The cost of services is based on the type of services rendered. Call FIPAR for specific details at (205) 518-6421.
Download our client form packet. Fill this out prior to your visit and it will save you time in your visit and limit your waiting for an appointment.
The Notice of Privacy Practices is available for download for your review.
Payments can be made in the form of cash or credit cards. We accept MasterCard, Visa, Discover, and American Express.
Please Read These Terms and Conditions of Use Carefully Before Using This Website
This website and its related services are governed by the Terms and Conditions of Use stated below, and your continued access to this website and its services is subject to your agreement to be bound by such Terms and Conditions of Use, as they may change from time to time. If you do not agree to these Terms and Conditions of Use, you may not use this website or its services.
Security
This site takes reasonable precautions to protect our users’ information. When you submit confidential information via this site, your information is kept in a secure environment both online and offline. Messages that you send to us by e-mail however may not be secure. If you choose to send any confidential information to us via e-mail, you accept the risk that a third party may intercept and use this information.
Links
This website may contain links to third-party websites. Please be aware that Fall Injury Prevention and Rehabilitation Services LLC, henceforth known as FIPAR, is not responsible for any of the content on these websites, nor does FIPAR make any representations as to such content or its accuracy. Use of any linked third-party website is solely at your own risk and we encourage you to read the terms and conditions of each linked third-party website you choose to access, including the privacy statements of each such site.
Links to third-party websites are provided solely for your convenience. All information, products, advertisements, and other content contained in such linked sites are neither approved nor endorsed by FIPAR and FIPAR is not responsible for such information, products, advertisements, or other content.
No Warranties or Representations
FIPAR makes no warranty whatsoever, express or implied, including any warranty as to accuracy, completeness, or timeliness, concerning the information contained on or linked through this website, and you should not assume that such information is accurate, complete or the most up-to-date information available. FIPAR shall not be liable for any loss, claim, or damages caused in whole or in part by its provision of, or your use of, any of the information contained on, or linked through, this website. Except as expressly provided herein, there are no other warranties, express or implied. FIPAR disclaims any express statutory or implied warranties, including, without limitation, warranties of merchantability or fitness for a particular purpose.