Forms & insurance

Centurion Physical Therapy does accept insurance, and we work with most insurance companies. Prior to your initial evaluation, we will check your insurance benefits and get back to you with a full description of your coverage, including deductible and co-pay information. If you do not have insurance coverage, we do offer self-pay rates.

Your payment is due at the time services are rendered and as a courtesy, we will submit your claim on your behalf. By request, we can keep your credit card on file.

In order to optimize the time during your initial evaluation, we ask that you complete the New Patient Registration form in advance. Many insurance companies require additional paperwork; we can send you the appropriate forms after our initial conversation.

All forms can be completed and faxed or emailed to us ahead of time or brought with you to your first appointment.

 

Forms

New Patient Registration Form
HIPAA Notice of Privacy Practices
Waiver for Pilates, Personal Training, and Yoga
Patient Summary Form