We are providers for most major insurance companies. Should you not find your specific plan on our list, please feel free to contact a member of our trained office staff. Please remember to inform us of any secondary insurance coverage. This may effect your out-of-pocket responsibility.

As you might expect, we do have some forms for you to fill out on your first visit. We ask that you arrive 15-20 minutes prior to your therapy appointment to allow time to complete these forms.You may also complete the necessary forms here online, allowing you to arrive at your regularly scheduled time.

Talk to one of our friendly and competent office staff if you have any questions.

All physical therapy patients must complete these two forms:

Patient Information Form
Patient History Form

Patients being treated for shoulder problems should complete this form as instructed:

Shoulder Pain and Disability Index

Medicare patients must also complete this form:

Medicare Authorization Form

Empire patients must also complete these applicable forms:
(These forms must be downloaded and printed)

DASH (arm or shoulder injuries)
Back index
Neck index
Lower extremity

No-fault patients must also complete this form:

No-fault Assignment of Benefits

Workers Comp patients must also complete this form:

Workers Comp Authorization Form

All hand therapy patients must complete these two forms:

Patient Information Form
Patient History Form

Medicare patients must also complete this form:

Medicare Authorization Form

Empire patients must also complete these applicable forms:
(This form must be downloaded and printed)

DASH (arm or shoulder injuries)

No-fault patients must also complete this form:

No-fault Assignment of Benefits

Workers Comp patients must also complete this form:

Workers Comp Authorization Form