PT Eval and treatment.We bill your insurance AZ CA by Terri Guido

PT Eval and treatment.We bill your insurance AZ CA

Description

This is a physical therapy evaluation and treatment for specific orthopedic diagnosis. Common diagnosis would include: low back pain, neck pain, knee pain, foot pain, plantar fasciitis, TMJ, headaches, systemic hypermobility, balance dysfunction, shoulder pain including rotator cuff tears and supraspinatus impingement syndrome. We treat all orthopedic diagnosis with emphasis on teaching the patient how to treat themselves.


IMPORTANT: Please only book appointments on Monday, Wednesday and Friday at 10 am. Thank you!

Prerequisite

After booking your appointment, please download the Initial Evaluation and Optum form. The latter only if it pertains to you.


In the next 24 hours, you will receive an email with your Username and Password to your own Patient Portal account. Please fill out the forms and upload them in this account with a copy of your insurance card and credit card on both sides.

Click the following link to sign in to your Patient Portal Account:

https://app.intouchemr.com/ite/patientLogin.xhtml

Materials

Initial Evaluation

Please fill out this form with as much detail as possible.

SCORE PHYSICAL THERAPY - INITIAL EVAL (pg. 1).pdf

Optum Form

Please fill out the first and second page on this form. Note: Do not write on the middle section found in the second page which states "Proved Completes This Section".

Score PT Optum Form.pdf