Your paperwork, before you get here.

Before your first visit

Bring five things and you’re set. A photo ID. Your insurance card. Your referral or prescription, if a doctor gave you one. A written list of the medications you take, including anything for pain. And comfortable, loose clothing you can actually move in, plus shoes you’d walk in. If you have x-rays, imaging reports or doctor’s notes, bring those too, because they save us guesswork. Come rested if you can. Your first visit is a cause-first evaluation with a licensed physical therapist, and we’ll ask you to move.

Forms you can download now

Fill these out at home and hand them in when you arrive. That’s the whole point: your hour belongs to your therapist, not to a clipboard in our waiting room.

• Medical History Form (PDF, opens in a new tab) (PDF): your details, what brought you in, and your health history.
• Financial Policy (PDF, opens in a new tab) (PDF): how billing, copays and balances work.
• Missed Appointment Policy (PDF, opens in a new tab) (PDF): our cancellation terms.
• Notice of Privacy Practices (PDF, opens in a new tab) (PDF): how your health information is used and protected.
• Accepted Insurance List (PDF, opens in a new tab) (PDF): the plans we currently participate with.

Patient Attendance Policy

Accomplishing our purpose of “We Exist so You Can Go Live Your Life” is the intention with every patient. Your health and your trust in us to achieve your goals is the most important thing to this company. Your adherence to the recommended number of treatments is a vital component of your progress; therefore, we have rules to ensure the most optimum results.

Apart from serious emergencies, it is expected that you attend as your therapist prescribes. If you need to re-schedule, we require 24 hours notice. In the instance of non-sufficient notice of a cancellation or a no-show to a scheduled appointment, we reserve the right to charge a $50 missed appointment fee to the card on file.

We also reserve the right to discontinue care and will inform your physician of the fact that you service has been discontinued due to non-compliance with the physical therapy order.

We appreciate the honor to serve you as our patient and strive to accomplish wonderful results and success for you. The only way for us to accomplish these results is to ensure that you are here for all recommended visits. We look forward to helping you on your health journey!

Prefer paper? Ask at the front desk, or call (504) 733-0254 and we’ll get you a copy of any of them.