| referral_form_and_map.pdf |
New Patients: thank you for printing out and completing the forms in our New Patient Packet below. 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 "FIND US" tab.
(Please quickly complete and submit your forms so our data entry specialist can get your chart ready before scheduling your 1st appointment. This way, the PT will have more information at hand in order to more helpfully and specifically answer your questions on or before your first visit).
If you have any questions regarding paperwork, please call 530-891-4456. You can communicate with us via email at office@simplyresultspt.com.
If you need a packet sent to you, through the regular mail, please leave a message with your address at 530-891-4456.
If you need a packet sent to you, through the regular mail, please leave a message with your address at 530-891-4456.
| New Patient Packet |
WE ARE IN-NETWORK MEDICARE PROVIDERS: Courtesy billing provided.
If you have coverage that is not Medicare, please call your insurance plan representatives in order to verify your benefits for physical therapy. We are also in-network with Blue Shield employer plans and TRICARE (formerly known as CHAMPUS).
Co-pay and deductible are due on day of service.
All credit cards accepted. We offer to people paying out-of-network a 5% discount for check or cash on the day of care.
Our time with patients has been cut by insurances; thus, we have opted to be out of the networks of the low-rate payers: Blue Cross, Cigna, Aetna, & United Health.
If you have coverage that is not Medicare, please call your insurance plan representatives in order to verify your benefits for physical therapy. We are also in-network with Blue Shield employer plans and TRICARE (formerly known as CHAMPUS).
Co-pay and deductible are due on day of service.
All credit cards accepted. We offer to people paying out-of-network a 5% discount for check or cash on the day of care.
Our time with patients has been cut by insurances; thus, we have opted to be out of the networks of the low-rate payers: Blue Cross, Cigna, Aetna, & United Health.
