Reynolds and Associates Physical Therapy Forms
If you are a women's health patient, please print the forms below in addition to the new patient registration and the patient history links above.
• Pain Assessment
• Consent Form
Insurance
Reynolds & Associates Physical Therapy’s services are covered by most insurance companies. Because of the nature of insurance coverage, we verify insurance coverage prior to office visits. We handle all processing of primary insurance claims in house. Secondary insurance processing is limited to patients with Medicare coverage. Should you have any billing questions, we have personnel here to help answer your questions.
Patients using Medicare or any Medicare replacement plan, must have a physician referral in order to begin therapy. Most other insurance plans do not require a referral.
We are a network provider for the following plans:
- MEDICARE
- BLUE CROSS BLUE SHIELD (INCLUDES STATE HEALTH PLAN MEMBERS)
- UNITED HEALTH CARE
- AETNA
- TRICARE
- WORKERS COMPENSATION
If your insurance carrier is not listed above, we will be happy to verify your benefits and determine the cost per visit when out of network. We also have a self pay option available. Please do not hesitate to contact us for further inquiry at (919) 933-1110.
We do not accept assignment from third party payers. If you’ve been in an automobile accident we will submit your medical claims through your health insurance company or accept out of pocket payments. It will be your responsibility to seek reimbursements from your auto insurance carrier or any legal proceedings you may have pending.
If you do not have health insurance but are in need of a consultation, we encourage you to contact us to discuss payment options.
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