Patient Resources

Patient Forms

Orthopedic Registration & Consent to Treat Form
- For New Patient (PDF 391KB)
- For the Return Patient (PDF 396KB)
Concussion Registration & Consent to Treat Form
- For New Patient (PDF 486KB)
- For the Return Patient (PDF 481 KB)
Vestibular Registration & Consent to Treat Form
- For New Patient (PDF 439KB)
- For the Return Patient (PDF 410KB)
Pelvic Health Registration & Consent to Treat Form
- For New Patient (PDF 444KB)
- For the Return Patient (PDF 440KB)
Balance Program Registration & Consent to Treat Form
- For New Patient (PDF 519KB)
- For the Return Patient (PDF 515KB)
Patient Policy Packet (PDF 181KB)

New Patient Paperwork

Don’t feel like arriving half an hour early to your initial appointment? Fill out the New Patient Paperwork Packet ahead of time.

Learn More

Doctor Referral Form

Download our Probility referral form to give to your doctor and let them know you would like to receive treatment at Probility.

Learn More

Bill Pay

Payment Options

Online

Online payment can be submitted through the MyChart Patient Portal. You do not need a MyChart account to pay your bill. If you have a MyChart account, you can also pay your bill through the Trinity Health MyChart mobile app. See the instruction links below.

MyChart streamlines care.

You can pay your bill online with MyChart. Sign in or create an account today.

Go to MyChart

How to Activate Your MyChart Account

MyChart Activation (PDF, 1.6MB)

By Phone

To pay by credit or debit card over the phone, please call 800-494-5797 between 8:00 am and 5:30 pm EST.

By Mail

Fill out the bottom portion of your bill and return it with your payment to the address on your bill.