Employee Forms

Flex Time Request (8/23)

Flex Time Utilization

Conference/Professional Activity Request August 2025

Facilities Use Request Form

PT Progress Notes

Purchase Requisition

Request for Reimbursement July 2022

Mileage Reimbursement- July 2025

Mileage Form Checklist

Mileage Form How-to Video

Mileage Matrices (with division tabs) August 2025

PREP letterhead

DMV Information Request Form

Maintenance Request Form

Building Custodial Form

Technology Request

Loaned or Donated Equipment Form

Medicaid Fund Reimbursement Form

Medicaid PT Progress Notes

Medicaid OT Progress Notes

Medicaid Therapy Plan of Care

PREP Confidentiality Form

Medicaid Therapy Plan of Care Addendum

Consent to Bill Medicaid

Medicaid Therapy Request for Assessment/Evaluation