Zenith Patient Portal
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Patient Forms Occupational Physical Speech Other Business





Welcome to the Patient Portal. Please click the links below to complete patient documents.



ALL Patients:
Financial Responsibility - Commercial (including Tricare)
AND/OR
Financial Responsibility - Medicaid/Medicare

(Optional) Authorization to Release Medical Information

CHILD:
Pediatric Patient Information

Pediatric History and Concerns

(Optional) Authorization for Pick-up of Minors

ADULT:
Adult Patient Information







© Zenith Rehabilitation 2025. Thank you for considering Zenith for your therapy needs.

14500 E 42nd St S; Independence, MO 64055
Call us at: (816) 478-7800





Employee E-mail Access