Patient/Client Information & Forms
This page contains links to forms you need to complete to be evaluated and treated at the Center for Physical Rehabilitation. Please download these forms, complete them and bring them with you. These forms and documents also are available on site.
What will you need for your new appointment?
- Bring your insurance card
- Prescription or Referral (if required):
-- NYS law allows a licensed physical therapist direct care without a physician’s prescription for 10 office visits or treatment rendered within 30 days. However, some insurance companies may require a referral from a physician prior to starting physical therapy. Contact us to find out.
- Loose clothing usually in form of t-shirt and shorts. This will allow your physical therapist to properly examine your whole body and movement.
- Copy of any medical tests such as X-Rays and MRI reports if taken.
We accept most major medical insurances, see list below:
- Aetna (out of network)
- United Health Care
- Oxford Freedom Plan
- Cigna PPO/ POS
- Empire Blue Cross/ Blue Shield
- Anthem (Blue Cross)
- Worker’s Compensation
- No Fault
No insurance… we offer no fee, scheduled payment plans to help you focus on getting the treatment you need.
Out of Network… Did you know that once you’ve met the out-of-network deductible, most co-insurance can be less than $20* per session? Most people fulfill their out of network deductibles especially at the end of the year. If this is you, call us and let us verify your insurance coverage.
*Co-insurance amounts vary and are dependent on your insurance coverage benefit and eligibility.
You can view and read the documents on this page in PDF format, complete with fully enhanced images an graphics, by installing Acrobat Reader if you do not already have it on your computer. It's free. Just click the Acrobat Link below and follow the instructions.