![]() |
|||||||
|
IMPACT
ATHLETICS APEX
OFFICE
|
New Patients ___________________________________________ | ||||||
| What to expect at your first visit... For your initial appointment, please come 15-20 minutes early to complete all necessary paperwork . We encourage you to download new patient forms listed below and complete them beforehand. |
![]() |
||||||
| Please
note: All pain scales must be completed within 24 hours of your first visit. Please bring your insurance card and your doctor's order for physical therapy, if one was given to you. Please dress with the proper work out attire for your injury, wear comfortable/enclosed shoes, and if attending aquatic therapy, please bring an appropriate swimsuit. Bring your calendar/day planner so that you may schedule appointments in advance. |
|||||||
|
|
|||||||
New Patient Intake Form New Patient History Form 24 Hour Pain Scale Form |
Upper extremity patients: DASH Lower extremity patients: SF 36 Low back patients: Low Back Oswestry Neck patients: Neck Oswestry |
||||||
|
|
|||||||
| Insurance______________________________________________ |
|||||||
|
If you are a patient interested in receiving physical therapy from our clinic, you do not need a referral in order to be treated. However, you might need a referral to comply with your insurance coverage. We
participate in most insurance plans, including Medicare, and file insurance
claims for our patients with participating providers. Please
contact our billing department if you have any questions regarding your
coverage: (919) 388-0111 or email at info@dunnpt.com. We would be happy to offer our recommendations to those in need of a primary care provider or specialist. Please email your request to info@dunnpt.com.
|
|||||||
|
|
|||||||