| Referral Form with directions & map.pdf |
New Patients, Please print out and complete the forms below, then please bring, mail, or fax them to our office. Please include a clear image, front and back, of your insurance card(s) and driver's license. To find our office, please see detailed directions above: click the tab "Contact Us"...
(Once your forms arrive here, our data entry specialist gets your chart ready. Then, the PT will call to schedule your 1st appointment. This way the PT will have more information at hand, in order to more helpfully and specifically answer your questions).
If you have any questions regarding paperwork, please call 530-891-4456
If you need a packet sent to you, please leave a message, confirming your address, at 530-891-4456.
If you need a packet sent to you, please leave a message, confirming your address, at 530-891-4456.
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WE ARE MEDICARE PROVIDERS.
We are in-network with Blue Shield for 2020. We opted out of Blue Cross as of 3/1/2020.
If you have coverage that is not Medicare, and you have questions about your insurance coverage, please download the form below, supplied by our biller, to guide you through a call to your plan representatives in order to verify your benefits:
We are in-network with Blue Shield for 2020. We opted out of Blue Cross as of 3/1/2020.
If you have coverage that is not Medicare, and you have questions about your insurance coverage, please download the form below, supplied by our biller, to guide you through a call to your plan representatives in order to verify your benefits:
| patient_benefit_verification_questionnaire.pdf |
