Patient Information

Patient Forms/Info

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 Physical Therapy Services, we want to maximize your time with us. Prior to your first visit, please print and complete the New Patient Forms below. Please bring these completed forms, your insurance cards, and photo ID with you to your first visit. Otherwise, allow extra time before your appointment to fill them out here.

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.
1Online Patient Intake Form

Online Patient Intake Form

2Past Medical History Form

Past Medical History Form

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.

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.

Patient Testimonials

Video Testimonial – YouTube

Video Testimonial – YouTube

Video Testimonial – YouTube

Absolutely wonderful place for therapy, I love the entire staff!!!

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Recent Patient 1

Founder & CEO

2Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi…

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Recent Patient 2

Manager

3Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi…

Read More

Recent Patient 3

Manager

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!

FAQs

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
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.
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.