The MedStar National Rehabilitation Network (MedStar NRH) is a regional system of rehabilitation care that offers inpatient, day treatment, and outpatient services in Washington, D.C., Maryland, and Northern Virginia.
Here are some documents and forms you may need to reference during your treatment at MedStar National Rehabilitation Hospital.
Medicare Eligibility Form (for Medicare patients only)
Patient Forms for Physician Services - Physician Visit Outpatient Health History form
All patient healthcare information at MedStar National Rehabilitation Hospital is confidential. Therefore, medical records cannot be released to any person without the authorization of the patient or the patient's legally authorized representative (unless authorized by law).
To request the release of your medical information, fill out our Medical Records Release Form.
Forms can be mailed to:
MedStar National Rehabilitation Hospital
102 Irving St. NW
Washington, DC, 20010
For more information, call 202-877-1180, ask for fax
Portable health profile
It’s important that you know and keep track of changes in your own health information. Because people see many different healthcare providers, this can be difficult to do. Using a portable health profile (PHP) can make keeping track of your health information easier. When you give healthcare providers the right information, you help them take better care of you. An example of a PHP has been provided for you. We suggest you write in pencil so you can update the PHP as things change. You can also find similar PHPs at:
my PHR, American Health Information Management Association
Your Family Member’s Personal Health Record, Next Step in Care
Our MedStar National Rehabilitation Hospital website: Portable Health Profile (PHP) Data Collection Form
Please let us know if you need any help updating your PHP with the new information from your stay at MedStar National Rehabilitation Hospital.
To download the Portable Health Profile Information PDF, please click here.
MedStar Health Hospital Billing Services
Submit your physician billing questions with our online form
Financial assistance application
Financial assistance contact list
Corporate Billing and Collection Policy
There are a number of local support groups for persons with disabilities and their families. All are welcome to participate. These groups serve as a gathering place offering peer-to-peer support and advice in dealing with the daily challenges of living with a disability. They are an opportunity to learn from the experience of others, who once had the same questions as you, and for others to learn from your experience.
Current patients can email their MedStar Health physician, request prescription renewals, appointments, medical records, and referrals.
If you are a new patient, register to get started with myMedStar Patient Portal.