Intake Form

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FYZICAL Therapy & Balance Centers in Interlachen looks forward to having you join our host of satisfied clients. Without you there can be no triumph. Because physical therapy without the client is intent without involvement. However inspired, it is like rain without water, only a hope. Because you Love Your Life, your independence, your day… we exist.

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy in Interlachen, FL. To schedule an appointment, please call us at (386) 684-9110.

Insurances Accepted

FYZICAL Therapy & Balance Centers in Interlachen accepts most major insurances including but not limited to: 

          AARP                                                       Medicare

          Aetna                                                      Sunshine State Plan

          Ambetter                                                Tricare

          Children's Medical Services                United Health Care

          Champ VA                                              UHC Community Plan

          Cigna                                                       VA

          Humana                                                  Worker's Compensation Plans

We also accept all secondary insurances as well as un-insured patients. Please call our office for assistance with any insurance questions. Our trained staff will be happy to verify your insurance benefits, and work with you to accommodate your individual needs. We offer affordable payment options for self-pay patients.

Once you have made your initial appointment, you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the registration process.


Forms:

New Patient Paperwork