Untitled Document

<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%> Untitled Document

Hot off the press!

John McWilliams, PT

Kris Carlson, PT, OCS

Heather Kreizenbeck, PT, OCS

Michele Sammeth, PT

Clare Jones, PT, OCS, FAAOMPT

Stacey Stauber, PT

Rene' Wendt, PTA

Donnie Shea, LMP

Daryl Smith, PT

Margie MacLean, PTA

Business Office

Insurance Verification for Physical Therapy Benefits

What to bring on your first visit

Authorization to Use & Disclose Patient Information

HIPAA Notice of Privacy Practices

Insurance Verification

Billing Information

List of accepted insurances

Notice of Privacy - Signature Form

Medicare Payment Authorization - Signature Form

Patient Intake Form 1

Patient Intake Form 2

Hot Off the Press

Another WEBster Graphic © 2008 - 2010