New Patient Center
How Do I Become a Patient?
There are multiple, sometimes overlapping laws that determine if you as a patient will need a referral to physical therapy. In addition, many insurance companies have their own rules and regulations we must follow in order to be paid for our services. There is no easy way to tell if you will need a referral, but we can help you with this if we know what type of health insurance you have. We recommend that you call the office for information that is unique to you and/or your insurance.
We at PT Professionals want to provide you, our patients, with the essential information you need prior to your visit
What to Expect on my First Visit
Your physical therapist will have dedicated time for you and, in most circumstances, will first sit with you in a private room and discuss your symptoms with you. Your therapist will review your medical history with you and begin to evaluate your condition. Your therapist will make a list of impairments by using their clinical experience and education. The therapist will then create realistic goals and give you his or her best estimation on how long it will take to meet the established goals.
If time allows, the therapist will deliver treatment and may initiate a home exercise program. If appropriate, you will schedule follow up appointments with the receptionist at the conclusion of the session. You may schedule your appointments in advance, if you wish, as this allows you to adjust your personal schedule. The receptionist will provide a print out of your scheduled appointments for your records.
Your therapist will begin documenting your initial evaluation paperwork during or after your visit using electronic documentation. In most cases, your therapist will send your paperwork to the referring provider’s office (if applicable) so that they may keep a record of your physical therapy visit in your file.
If the clothing that you are wearing is not conducive to the evaluation, we will provide you with a gown, shorts, or socks. Our treatment rooms are private and we make every effort to maintain patient modesty. We have also taken measures to insulate our treatment rooms so that no one else will be easily able to hear your discussion with your therapist. Some patients prefer to be evaluated while in the open gym and we have this option available as well. Your therapist will be receptive to your preferences.
The following forms are available for download in our New Patient Package:
Patient Demographics:
This form will provide the office with necessary registration information such as your name, address, emergency contact, telephone number, etc.
Medical History:
This form will provide the office with necessary past and present medical history.
Acknowledgment of Receipt of Notice of Privacy Practices and Option to Give Access to Medical Records:
This form states that you will be offered a copy of our Notice of Privacy Practices paperwork at your initial visit and provides a means to list anyone you wish to have access to your medical records outside of our office.
Physician Referral Form:
Please feel free to download and print this referral form and have your doctor fill it out for you.
New Patient Document Package
If you are a new patient to our practice and want to complete our paperwork please click on the relevant “New Patient Package” link.
Prior to your first appointment, print out the forms and fill in the information. You may bring them with you to your first appointment or fax them to 321-757-5514 for our Viera office or 321-802-9647 for our Palm Bay office.
Thank you.
New Patient Packages
Insurance Information
PT Professionals believes in the value of care for you and your family. Our office staff will gladly verify your benefits and explain them to you before treatment, at no charge. Please note that our accepted insurance list changes periodically. Because there are so many insurance plans and coverage varies widely, please call us to determine if your insurance plan covers treatment in our office.
Insurances accepted:
Medicare
Blue Cross Blue Shield (HMO & PPO)
Health First Health Plans
United Health Care
Tricare Standard, Prime*, TFL
VA
Cigna
AARP
Aetna (HMO and PPO)
Cigna HealthSpring
UMR
Golden Rule
TriWest
Auto Insurance
Workers Compensation In-Network:
Universal Smart Comp, Orchid Medical, Med Risk, Align (One Call), SP Net and Gallagher Bassett
Insurances Accepted as Out-Of-Network:
Blue Select $125 Eval, $100 Visit
Empire Plan
PHCS (Multiplan)
Humana
First Health (Coventry)
Insurances Accepted With Special Instructions:
GHI only as a secondary to Medicare – Category 200-299 only
Medicaid (Staywell, etc.) only as a secondary to Medicare
UHC / AARP / Medicare
HMO needs authorization uploaded first by Primary Care Physician
GEHA* only as a secondary
Insurances NOT accepted:
BCBS Theramatrix
Medicaid (Primary)
Florida Health Care Plans (often under BCBS)
Auto Cases
Call for coverage information.
No Insurance:
Our facility has a self pay rate available for uninsured individuals.