TO MAKE AN APPOINTMENT:

Please call the front office closest to you. We guarantee that we will offer an initial evaluation appointment within 24 hours.

NEW PATIENT FORMS:

Once you have made your initial appointment, please fill out the following forms and bring them with you along with your insurance information. It will help in getting you in to see a therapist on time.

NEW PATIENT INFORMATION

MEDICAL HISTORY

SUPPLY WAIVER

PAYMENT AND INSURANCE INFORMATION

Colorado is a direct access state. This means you may see a Physical Therapist without a medical referral. However, for insurance reimbursement, you may need a physician referral.

Reimbursement for our services may be done on a self-pay basis or through insurance.

We are Physical Therapy and Occupational Therapy Providers for the following groups and providers.

Aetna POS, PPO, Indemnity (Dependent on patient's benefits)
Affordable Network
Alliance Network
BCBS
Cigna
Great West/One Health
HIS Health Plans- EPO, HMO
Humana Employers Health
Intercare/CNIC
Kaiser Permanente (MMA plan only)
Medicare
Mountain Medical Affiliates (MMA)- PPO, Group Health
Mutual of Omaha
Pacificare PPO
Pacificare HMO
Pacificare POS
Private HealthCare Systems (PHCS)
Rocky Mountain Health Plans
Railroad Medicare
Rocky Mountain UFCW
Secure Horizons
Sloans Lake Managed Care- Cofinity
Travelers (Workers' Compensation Only)
Tricare Prime
Tricare for Life-Standard
United HealthCare
US Department of Labor (OWCP)
Workers' Compensation

ADDENDUM :

These are just some of the more frequently used insurance companies. It is always advisable that the patient call their company and inquire on their coverage for any existing stipulations.