Intake Form
» Intake Form :

FYZICAL Schaumburg accepts most major insurances and, in addition, Self-Pay rates are also available.  Our goal is to keep our fees reasonable and well in line with comparable providers in the area.

Our office makes sure that billing and insurance-related issues are handled in a quick and effecient manner as much as possible. After verifying your coverage with your provider, we’ll inform you of any co-payment charges. We take care of most of the paperwork so you don’t have to.  If we are not in your insurance network, we can work with your out of network benefits to create an affordable plan.

Download Patient Forms

Patient History Form

Patient Data Form