New Client
Welcome! I look forward to meeting you soon. Please complete all of the following forms except for applicable Medicare and/or Medicaid forms prior to your PT initial evaluation. Doing this in advance will save you time and money.
All clients- complete BEFORE your first session:
All clients- complete BEFORE your first session:
Privacy Notice - Our practices and Acknowledgement Form
Clients with any type of Medicare*:
Clients with any type of Medicare*:
"Advance Beneficiary Notice of Noncoverage" (ABN)- last updated August 2020: Instructions and Form- we will fill this out together at your first session, if applicable.
Clients with any type of Apple Health or WA Medicaid*:
Clients with any type of Apple Health or WA Medicaid*:
Agreement to Pay for Healthcare Services- we will fill this out together at your first session, if applicable.