New Patient Forms

Prior to your first appointment, we ask that you print and complete the “New Patient Forms”. These forms are available in the link below. Please bring the completed forms with you to your initial visit. This will help decrease your time filling out paperwork in our office and allow you more time with one of our physical therapists.

For the “New Patient Forms”, please click on the below link.


Accepted Insurance Plans

We accept most major insurance plans. Please call for a more detailed list and/or to determine if your specific plan is contracted with our clinic. We also accept individuals who are self-pay due to choice or have exhausted their benefits.


Insurance Information

Our goal is to create the best customer experience possible for each of our patients, so we have processes in place to ensure that dealing with your insurance company will be as simple as possible. We will file your insurance for you and will contact your insurance company to determine the appropriate co-pay amount. 

We accept most major insurance carriers, and prior to your treatment we attempt to verify with your insurance company what procedures and/or supplies they cover. There may be supplies and/or treatments necessary for you that are not covered by the insurance company. If that occurs, you will be made aware of the situation and will have the option of getting treatments and/or supplies with the understanding that you are responsible for payment. Please bear in mind, however, that insurance companies do not always give us an all inclusive list of non-covered services. Any treatments rendered non-covered will be your responsibility. For this reason, please take it upon yourself to know your particular policy and notify us if you know a treatment is not covered. It is also your responsibility to follow up with the insurance company if they fail to pay in a timely manner. Your insurance company should always pay within 60 days. Please contact them if you have not received notice of payment from either the insurance company or on your monthly statement from our clinic. If you are unsure if your insurance will pay for Physical Therapy, please contact them. 

Your co-payment or payment towards deductible is due at the time of treatment. If your insurance is in a spouse's and/or parent's name, please be sure to complete every space on the Patient Information form.


Insurance Co-payment

We calculate your insurance co-payment per visit to the best of our ability based on the information your insurance company gives us when we verify your coverage. Therefore, you may have an additional balance due on your co-payment after the final insurance payment. Please be advised that your insurance company makes the final determination regarding your benefits. 

Cash, credit cards (Visa, American Express, Mastercard), and personal checks are all accepted.


Workers' Compensation

If you were hurt on the job and are covered under workers' compensation, we will verify this with your employer and bill the insurance company directly.


If you were involved in a motor vehicle accident, please provide us with the date of the accident, the state in which it occurred, claim number and insurance carrier name. We will file with your automobile insurance unless otherwise instructed. We would also need verification of your health insurance in case your Personal Injury Plan (PIP) has been exhausted. Please let us know prior to your treatment if you are working with an attorney.

Motor Vehicle Accidents


Medicare

We do accept Medicare assignment. Medicare will pay 80% of their allowable charges for Physical Therapy. Your supplement insurance will pay the balance. If you do not have a supplement insurance, please advise us as you will be responsible for payment. Normally, Medicare does not pay for supplies. Should you need supplies of any type, you will be given the option of purchasing the supply at your own expense.


If you do not have any insurance, we offer a 20% cash discount.

No Insurance


Please direct any billing and/or insurance questions to Debbie Rothenburger, our Billing Manager. She can be reached at 502-622-2443.

Insurance and Billing Questions