Please click on the forms below, complete form, print, and bring with you to your first visit. There are two versions of each form; One to print and complete with pen and a "fill in" version for those with Microsoft Word to type and print.

Physical Therapy Form: PDF / Word
Massage Form: PDF / Word

Please arrive to your appointment 5-10 minutes early to complete forms and share your goals with the therapist or download and bring with you.

We are contracted with many carriers for "in-network" coverage.  We may verify coverage, but do not guarantee that we are "in-network" on every plan by these carriers.  If you have concerns, please contact your carrier to ensure "in-network" or therapy coverage exist on your plan.

We accept all clients and will submit claims to your insurance carrier.  If your plan has different coverage for in-network versus out-of-network providers you may want to check with your specific plan for coverage benefits.

If you have insurance questions contact us.

The list below is a general list of insurance carriers that we are contracted with as in-network for some of their plans.  After your initial visit we may verify your insurance coverage but do not guarantee "in-network" plan coverage

HIPAA Privacy Notice Form: This form describes how health insurance information about you, as a patient of this practice, may be used and disclosed. This is required by the Privacy Regulations.