Self Pay Patients
» Self Pay Patients :

Self Pay Patients: Please print out the following forms, fill them out, and bring them with you the day of your first visit.

Super Bill Patients: Please note, we are not contracted with your insurance company. Any benefits applied will be 'non-member' or 'out of network.' We will provide you with a superbill upon payment after each session. We reccomend that you contact your insurance company to find out their process for submitting the superbill to them for reimbursement. Please note that in order to provide superbills we do require a diagnosis from a physician, usually in the form of a prescription for Physical Therapy.