Information for Patients
- You may visit any of our clinics (90th & Center, 90th & Dodge or Blair) with or without a written physical therapy referral. Please be aware that some insurance companies require pre-approval and a written prescription for payment of physical therapy services.
- If your insurance does not provide physical therapy coverage, we do accept payment via check, cash, Visa and/or MasterCard.
- We do recommend that you verify your insurance benefits for physical therapy by doing the following:
- Call your insurance company to verify your therapy coverage.
- Investigate yearly dollar coverage limits or number of approved treatment visits for therapy and if pre-authorization for treatment is required.
- Record the full name of the insurance contact person.
- Record the pre-authorization number for treatment.
- Receive a fax or email confirmation of benefits.
- Auto accident injuries should obtain information from their car insurance company on the limits and extent of their personal injury protection coverage.
Please bring your written insurance information or insurance card and your physician prescription for treatment with you to your first therapy appointment.
Please allow 60 minutes for your first therapy visit. We recommend comfortable clothing. Females are encouraged to wear a swimming suit top or sports bra if they are being evaluated and treated for neck and/or upper back conditions. Gowns and shorts are provided at the clinic.
Patient Forms
*** In order to help speed up the initial visit paperwork, we encourage all patients to fill out the Patient Information and History Questionnaire in ADDITION to the corresponding form for the primary area/problems to be evaluated (if listed). Simply print them off, fill them in and bring them to your initial evaluation appointment.
Patient Information
History Questionnaire
Motor Vehicle / Workers Compensation Form
Balance
Fibromyalgia Impact Questionaire
Hip/Knee/Ankle/Leg
Low Back
Multiple Sclerosis
Neck
Shoulder & Arm
Patient forms require Adobe Acrobat Reader (free download from Adobe.com).
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