Insurance + Forms
Insurance
If you have insurance, please bring your insurance card with you on your first visit. As a courtesy to you, our patient accounts department will submit your therapy bills to your insurance company. It is very important that we have complete information in order to do this. You are expected to provide any information that is required, including signed and completed forms, details of injury/accident, spousal insurance coverage and referrals for services.
If you do not see your insurance company listed, please feel free to call our office at
301-733-8060 or email our insurance office at ptbilling@myactv.net and we will be happy to discuss your insurance with you.
Referrals
Some insurance companies require patients to obtain an order for physical therapy from their referring physician prior to treatment, but other insurance companies require a specific referral form from a patient's primary care physician. It is the patient’s responsibility to know their insurance benefits and to be sure our office receives the proper order/referral form prior to their first appointment. You are expected to pay any co-pays and/or deductibles at the time of your visit. All balances not paid by the insurance company are billed to the patient.
We also participate with the following insurance companies:
JHHP, Workman's Compensation and MVA (Motor Vehicle Accident)
new patient
intake form
new patient
intake form
Forms + Policies
New patients are asked to fill out the new patient intake sheet before their first appointment. Bring the completed, signed form, along with your insurance card and picture ID. (You must have the proper ID or you will be asked to reschedule your appointment.)
If you need to cancel or reschedule an appointment, you are required to provide us 24 hour notice.
It is the patient’s responsibility to know their insurance benefits. You are expected to pay any copays and/or deductibles at the time of your visit. All balances not paid by the insurance company are billed to the patient. We accept cash, check, and most major credit cards.