New Client

Welcome! We look forward to meeting soon. Please complete the following forms prior to or during your PT initial evaluation. Doing this in advance will preserve more time for us to work with you during this session and will therefore save you money, but we are also happy to provide copies of the forms and go through them with you in person as part of the appointment.

All clients:

Clients with any type of Medicare*:

  • "Advance Beneficiary Notice of Noncoverage" (ABN)- last updated August 2020: Instructions and Form

Clients with any type of Apple Health or WA Medicaid*:

*We do not bill Medicare or Apple Health/WA Medicaid for therapy services as we are not contracted with them and only offer self-pay therapy services. We CAN submit paperwork for funding for new wheelchairs or other equipment to these funding source.