Getting Started with Physical Therapy
New & Returning Patients
Standard Patient Forms (Commercial Insurance, Uninsured & Self-Pay)
Uninsured or Self-Pay Patients will be given a "Good Faith Estimate", completed by our front desk staff - see example below:
e.g. "Good Faith Estimate for the Uninsured or Self-Pay"
Patient Attestation Form (if applicable)
Direct Access - Did you know that per the state of Virginia direct access guidelines, a Physical Therapist may treat patients for up to 60 days without a MD referral. However, most, if not all, health insurance companies require a physician referral from the first date of service for reimbursement purposes.
For this reason, it is recommended that every patient obtain a physician prescription and/or referral as required and bring this with them to the first PT appointment. (Some insurances such as John Hopkins USFHP, Mamsi and Aetna plans require insurance referrals). Please also bring a picture ID and your insurance card for verification purposes.
If you have obtained paperwork from our web-site, please bring the completed forms with you as well. If not, we ask that you arrive 15-20 minutes early to complete the admission paperwork process.
Upon your first visit, please bring all of the following:
- A Mask
- New patient information and Assessment Forms
- Physician Referral and /or Prescription or a Completed Self Referral Form
- Insurance card & Identification
- List of Current Medications if applicable
- Comfortable clothing and sneakers
GENERAL INFORMATION BELOW
HIPAA and Patient Bill of Rights
What is the difference between a Physician Referral and a Prescription?
Some insurances require a physician's referral for coverage of Physical Therapy. Insurances that require a "Referral" are the responsibility of the patient or if a minor that of the parent or legal guardian. If you have a HMO insurance card and a primary care physician you most likely will need a referral. Please call your insurance company and/or contact your primary care physician's office if you have any questions.
Medical Records Retention Information
Uninsured or Self-Pay - Financial Dispute Resource
Request an appointment with our physical therapist by filling out the form below: