Patient Information – New

We are here to help you enjoy your life, pain-free! To make a convenient appointment, simply call us today. Our practice is dedicated to helping our patients recover from all types of injuries and surgeries. Our goal is for you to get better and back to your normal activities.

Patient Forms

At HeroStencil2k22, we want to maximize your time with us. Before your first visit, please print and complete the New Patient Forms below. Please bring your insurance cards and photo ID to your first visit. Otherwise, allow extra time before your appointment to fill them out here.

1Online Patient Intake Form

Online Patient Intake Form

2Online Patient Intake Form

Online Patient Intake Form

3Past Medical History Form

Past Medical History Form

4Past Medical History Form

Past Medical History Form

Before Your First Visit

  • Make a list of questions and concerns you would like to discuss with your therapist.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.

What to Expect on Your First Visit

  • You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
  • You will meet with your physical therapist for the initial evaluation.
  • During the evaluation your therapist will ask questions about your medical history, current pain, or injury. Your physical therapist will also answer any questions you may have about therapy and your condition. Open communication helps us get you better.
  • Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please communicate to your therapist if anything is hurting or bothering you during the examination.
  • Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
  • There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit you will get into the full swing of your treatment plan.
  • You will schedule a series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist and physician. We offer many convenient appointment times.
  • Your therapist will write up their findings and treatment plan to submit to your referring physician or other medical professional who you choose.
  • If you have any questions at anytime, please don’t hesitate to call. We want to ensure your satisfaction and full recovery

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Insurance Info

We gladly accept the insurance plans listed below. If your plan is not listed, please call us at 000-000-0000 as we are always adding new insurance plans.

As a courtesy to our patients, we will verify your health benefits prior to your arrival to determine if there will be any copayment, deductible, or coinsurance for therapy services.

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Aetna (Out of Network Benefits)

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Allwell

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Ambetter

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Auto Insurances

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Avmed

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Blue Cross Blue Shield

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Cigna

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Coventry

This is not an all inclusive list. Please call the office to verify other insurance plans.

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Patient Testimonials

At HeroStencil2k22, we want to maximize your time with us. Before your first visit, please print and complete the New Patient Forms below. Please bring your insurance cards and photo ID to your first visit. Otherwise, allow extra time before your appointment to fill them out here.

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Video Testimonial – Upload 2

Video Testimonial – Upload 2

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Video Testimonial – Upload 2

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Video Testimonial – Vimeo 2

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Video Testimonial – Vimeo 2

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Video Testimonial – Youtube 2

Video Testimonial – Youtube 2

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Video Testimonial – Youtube 2

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Recent Patient 5

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Recent Patient 4

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Recent Patient 3

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Recent Patient 2

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Recent Patient 1

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Refer A Friend

Our purpose at Physical Therapy Services is to leave a greater impact on the communities around us. In order to achieve our goal we want to change as many lives as possible as we become a beacon of positivity in our communities. We love helping people achieve relief from pain and reach their full potential, thus making a difference in their lives.

Who do you know that needs our help? Simply fill in the form below and we will send them information about how we can help. We will gladly answer any questions they may have about their condition and how we can help. They will thank you and so will we!

Your name(Required)
Your friend's name(Required)

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FAQs

At HeroStencil2k22, we want to maximize your time with us. Before your first visit, please print and complete the New Patient Forms below. Please bring your insurance cards and photo ID to your first visit. Otherwise, allow extra time before your appointment to fill them out here.

What is physical therapy?

Physical therapy is a medical, hands-on approach to relieving pain and restoring function. Physical therapists are medical experts in musculoskeletal and neurological conditions and work closely with physicians. Our physical therapists evaluate your movement patterns, identify the cause of your pain, and work to eliminate it.

While every patient’s condition and pain is unique, your physical therapist will use a variety of gentle hands-on techniques, exercises, and equipment to relieve pain quickly and restore your function to optimum levels. The overall goal is to restore pain-free mobility and function and to prevent the injury or pain from recurring.

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  • Contrary to popular belief, Lorem Ipsum is not simply random text
  • Contrary to popular belief, Lorem Ipsum is not simply random text
  • Contrary to popular belief, Lorem Ipsum is not simply random text
How do I know if physical therapy will help me?

Working with you and your doctor, we can discuss your options and help determine if physical therapy will be the right choice for you. Contact us today to discuss your current condition and even set up a free consultation if you choose.

Can I go to any physical therapy I choose?

As a patient you have the right to receive physical therapy at any place you choose. At October Physical Therapy, you will receive the highest quality care while achieving the results you need.  We pride ourselves on providing a positive, encouraging environment with well-trained, friendly staff.  We are confident in our ability to help you reach your goals and live a pain-free life.

How do I schedule an appointment?

Our scheduling is easy and we offer a convenient location and appointment times for you. We have morning and evening appointments available to meet the demands of your busy schedule. Call us today or request an appointment.

What should I bring to my first appointment?

Please have your prescription and insurance card available when you call. This will allow us to verify your insurance benefits and provide you with an estimate of coverage.

To bring on your first visit:

  • A prescription (if needed) for physical therapy from your referring physician, ARNP, or PA.
  • Insurance information (we will make a copy of your card).
  • Print out the patient forms, fill them out, and bring them with you.
  • In case of an automobile accident or worker’s compensation claim, also bring any case manager or insurance adjuster contact names, phone numbers, and claim number.
  • Please arrive 15 minutes early to complete any remaining paperwork, so you can maximize your time in your evaluation.
  • Please wear comfortable clothing that allows easy access to your problem areas.
Will it hurt?

Physical therapy is not meant to hurt, but to relieve pain. However, as you restore your mobility, pain levels, at times can fluctuate. You might experience some temporary soreness from using muscles that are weakened or recovering. This is a normal response to therapy treatment. Good communication with your therapist will help minimize any discomfort. We want you on your way to quick pain relief and back to normal activities.

Does insurance cover my treatment?

Yes, in most cases it does. Our office will be happy to assist in contacting your insurance company and determining your coverage based on your individual policy. For more information, visit our insurance plan page and please do not hesitate to contact our office. We do offer different payment options for your convenience.

What if I don’t have insurance?

For patients who do not have insurance, we offer a discounted fee, due at the time of service.

What type of payment do you accept?

We accept cash, check, debit card, and credit card. We are happy to discuss payment plan options as well. It is our policy that payment is made at the time of service. Your insurance benefits will be determined before your second visit, and you will be informed of what, if any, payment is necessary on that date.

What do I wear?

Dress comfortably with clothes that allow easy access for the therapist to examine your problem areas. For treatments, loose fitting clothes that are comfortable for gentle exercises and supportive sneakers are often good choices to wear.

How long will my therapy sessions last?

Typically, the first session lasts for 1 hour 15 minutes. Each session after that may be 45-60 minutes. The amount of time will be based on your specific needs, and your therapist will discuss this with you.

How many sessions will I have?

Each patient’s diagnosis is different, so together with your referring physician, your therapist will develop a plan of care that is right for you. Your plan of care and number of visits will be determined during your first visit and explained to you by your physical therapist.

What types of education/training do your therapists have?

Physical therapists have years of university level training in anatomy, physiology, kinesiology (study of joint movement), neurology, and many of the other medical sciences. Our physical therapists have graduated from accredited physical therapy programs and are state licensed. Depending on the university, the physical therapy program is either a masters or doctorate level degree. Rest assured, your therapist is well trained to evaluate and treat your condition.

Do you offer programs for me once I’m better?

Yes, once you have completed your therapy sessions, your therapist will review your continuing home program.  We can make arrangements to meet you at your gym to work with you on determining what equipment may be beneficial, and what exercises would be helpful in your continued recovery.

What if I need to cancel my appointment over the weekend?

If you need to cancel your appointment over the weekend, you can call the clinic and leave a message explaining why you need to cancel. On Monday, when messages are checked, you will receive a call to confirm that your appointment was cancelled.

What are liens or settlements?

Liens and settlements are part of the auto accident process. However, MTI does not accept liens or settlements at this time. MTI will not wait for payment while your attorney negotiates a settlement.

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Patient Intake

Physical Therapy Services is to leave a greater impact on the communities around us. In order to achieve our goal we want to change as many lives as possible as we become a beacon of positivity in our communities. We love helping people achieve relief from pain and reach their full potential, thus making a difference in their lives.

Who do you know that needs our help? Simply fill in the form below and we will send them information about how we can help. We will gladly answer any questions they may have about their condition and how we can help. They will thank you and so will we!

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Patient Survey

At HeroStencil2k22, we want to maximize your time with us. Before your first visit, please print and complete the New Patient Forms below. Please bring your insurance cards and photo ID to your first visit. Otherwise, allow extra time before your appointment to fill them out here.

Name(Required)
Please rate the survey questions below based on the following scale. N/A = Not Applicable 1 = Unsatisfactory 2 = Fair 3 = Average 4 = Good 5 = Excellent
1. Was our staff friendly and helpful on the phone with you? *(Required)
2. Have all office staff members been courteous and helpful? *(Required)
3. Were your benefits adequately explained to you? *(Required)
4. Have the office and treatment areas always been clean and comfortable? *(Required)
5. Did the clinic have scheduled appointments at convenient times for you? *(Required)
6. Was it easy to schedule your appointments? *(Required)
7. Were you always seen promptly when you arrived for treatment? *(Required)
8. Was the check-in process prompt and efficient? *(Required)
9. Was your therapist courteous and helpful? *(Required)
10. Did your physician/therapist fully explain your problem and how they would treat it? *(Required)
11. Did you receive a home program and were you instructed properly in activities to do at home? *(Required)
12. Would you recommend this facility to your friends or family? *(Required)
13. Will you return to our practice if future care is needed? *(Required)
14. How was your overall satisfaction with your experience in therapy? *(Required)

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