Information for New Patients

Patient Forms

Please fill out the following forms before your first appointment. If you have any questions, please call us: 586-5951 Downtown or 789-4165 in the Valley.

Downtown New Patient Intake Form

Valley New Patient Intake Form

Cancellation / No-Show Policy

It is JPT policy that failure to attend two scheduled treatments sessions without providing 24-hour notice may jeopardize future appointments. Failure to attend physical therapy for two consecutive months without prior notice will result in automatic discharge.

Insurance Information

It is important to know your coverage before coming in for an appointment. It is strongly suggested that you call your insurance provider prior to your first visit to verify your coverage and benefits under your plan. As a service to our clients, JPT will bill primary and secondary insurance carriers. At the time of your first appointment, please bring your insurance card.

Clinicient Billing Services provides our billing service. Their expert staff is available to answer all your billing questions Monday through Friday from 5 am to 3 pm. Call toll free 866-451-7596 for their assistance if needed.

We collect your co-pay and any outstanding deductibles at the time of service and bill insurance. Unless other arrangements have been made, you are responsible for paying in full at the time of service.
-Does your insurance provider cover PT/OT services? How many visits are you allowed per year?
-What is your deductible? Has your deductible been met for the year? What month does your deductible start over?
-What is your coverage? Does your insurance provider pick up 50%, 80%, 100%?

JPT is not a Medicare/Medicaid certified provider of medical equipment. It has been our experience that many secondary insurance carriers do not cover claims that Medicare has denied. Consequently, any heel lift, splint, orthotic or other item will be the patient’s responsibility. JPT is not responsible for changes in insurance coverage or their denial of services. It is patient’s responsibility to confirm coverage and pay for what insurance does not cover.

JPT: Providing excellent physical therapy for the community we love.