Patient Forms
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Patient Intake Form
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Covell Care Patient Consents
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Fitness Training & Massage Consents
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Medical Records Release
Please fill out the forms in their entirety and return them:
Consents to intake@covellcare.com OR
Give them to the Covell Care representative at your first appointment
Medical Records Release to medrecs@covellcare.com
Thank you!
Patient Resources
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Privacy Practices
For your review and records. Let us know if you have any questions.
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Service Rate Sheet
Description of Covell Care services and associated fees. Contact us with any questions.
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Service Checklist
Use this checklist to determine what type of service would be beneficial.
Make a Venmo payment
Pay Your Bill
Scan QR code to open Venmo and make your payment.
*Include Statement # and Patient Name.
Venmo Business Name: @covellcare
Make a PayPal payment
Scan QR code to open PayPal and make your payment.
*Include Statement # and Patient Name.
