Desire

Patient Info

Getting started with us is easy!

Our goal at Agility Physical Therapy & Sports Performance is to make your initial appointment as easy as possible.  We want to make sure that you start off on the “right foot” for an overall positive experience with us. Customer service is our #1 priority.

Pre-Registration Forms:  To expedite the initial visit process, you may print off and complete any of the following forms prior to your initial visit.  This is recommended if the patient is under 18 years old and their parent/guardian will not be in attendance for the first visit.

Consent for Care and Treatment Adobe

Liability Questionnaire Adobe

Patient Demographics Form Adobe

Physical Therapy Medical Screening Adobe

Patient HIPPA Form Adobe

Privacy Practices Acknowledgement Adobe

Medicare Secondary Payer Questionnaire Adobe

Functional Questionnaire - Low Back Diagnosis Adobe
Functional Questionnaire -Neck Diagnosis Adobe
Functional Questionnaire - Shoulder Diagnosis Adobe
Functional Questionnaire -Hip/Knee/Ankle/Foot Diagnosis Adobe

FAQ's

Below are some FAQ’s that we can answer before your first visit:

Direct Access?As of January 1, 2015, Michigan law allows patients to refer themselves into physical therapy without a prescription from a physician.  However, not all insurance companies have agreed to Direct Access at this time.  Please contact our office to see which insurance companies are in compliance with the new law.   Direct Access does apply to those patients that are going to self-pay for their physical therapy services.

Do I need a physician referral?  At this time, in order to bill majority of commercial medical insurances, Michigan law still requires a referral from a physician (MD or DO), physician’s assistant (PA-C), podiatrist (DPM) or dentist (DDS) in order to evaluate and treat.  This prescription is needed at the time of your initial appointment.    Printable Agility script Adobe

Do you accept my health insurance?  We accept most commercial health insurances, workers compensation and automobile claims.  Our staff will assist you in verifying your benefits and what your financial responsibility would be.  Please refer to our list of insurances Adobe to determine if we are a participating provider.

How do I schedule my first appointment? To make the process as easy for you as possible, there are several ways to contact us.  Either, contact us through our website and we will call you back within one business day.   Or, simply call one of our three convenient locations during normal business hours and we will assist you in scheduling your first appointment.  Our goal is to schedule you for your initial evaluation within 24-48 hours.

How long will my appointment last?  Generally, your initial appointment will last approximately 60 minutes, in order for the physical therapist to perform a comprehensive evaluation and get you started down the “road to recovery.”

What should I bring to my first appointment?  Please bring a copy of your insurance card, driver’s license, physician prescription (unless already faxed), and comfortable clothing to be able to access the area that we will be evaluating and treating. 

 

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