Patient Forms
Please download the "New Patient Packet" below. It is a pdf form and can be filled out
directly on your computer with the latest free Adobe Reader software. Be sure to print
out the form as soon as you are finished since your progress cannot be saved.
Note: Please print single-sided, as we need to file pages individually. Thank you!
Insurance Coverage
As a courtesy to you, PhysioFit will call your insurance company to confirm coverage and
eligibility prior to your first visit. Because we cannot guarantee accuracy of the
information the insurance company provides, we urge you to call and confirm the details
of your physical therapy coverage. Understanding the insurance system can be
confusing, so we have provided the following information for you:
Please feel free to download the following for your records.
Insurance Companies
The following is a partial list of insurance companies with which we have contracts.
PhysioFit is part of a large network of insurance companies through PTPN (Physical Therapy
Provider Network). We accept almost all PPO and POS plans and some HMO plans.
NOTE - Contracts are subject to change, so if you do not see your insurance provider
listed, please contact us.
directly on your computer with the latest free Adobe Reader software. Be sure to print
out the form as soon as you are finished since your progress cannot be saved.
Note: Please print single-sided, as we need to file pages individually. Thank you!
Insurance Coverage
As a courtesy to you, PhysioFit will call your insurance company to confirm coverage and
eligibility prior to your first visit. Because we cannot guarantee accuracy of the
information the insurance company provides, we urge you to call and confirm the details
of your physical therapy coverage. Understanding the insurance system can be
confusing, so we have provided the following information for you:
- Insurance Verification Tutorial for Private Insurance
- Insurance Verification Tutorial for Medicare Supplement for Secondary Insurance
- Explanation for Medicare CAP
Please feel free to download the following for your records.
Insurance Companies
The following is a partial list of insurance companies with which we have contracts.
PhysioFit is part of a large network of insurance companies through PTPN (Physical Therapy
Provider Network). We accept almost all PPO and POS plans and some HMO plans.
NOTE - Contracts are subject to change, so if you do not see your insurance provider
listed, please contact us.
- AARP
- Aetna (PPO, W/C, POS, EPO)
- Beech Street
- Blue Cross (PPO)
- Blue Shield (PPO)
- BRMS
- CAPP Care
- Choice One
- Cigna (most HMO, POS, PPO plans)
- Evolution Healthcare PPO
- First Health/CCN (PPO)
- Focus (PPO, W/C)
- Fortified Provider Network
- Great West (PPO, HMO, POS)
- Guardian
- Health Dynamics
- HealthNet (PPO, POS, EPO, W/C)
- Health Scope (POS, PPO)
- HHCG - PPN (PPO)
- Horizon (W/C)
- Interplan (PPO)
- Managed Care Strategies (PPO)
- Medicare
- Multiplan (PPO includes BCE Emergis, Admar, BCE)
- NAPP (PPO)
- National Hospital Network
- One Health (PPO)
- Pacificare (PPO, POS)
- PHA (PPO)
- PPO Next (PPO, EPO)
- Plan Vista Solutions
- Premier Access PPO
- Private Healthcare Systems (PHCS) (PPO, Open Access)
- ProNet
- Three Rivers (PPO, W/C)
- Tri-Care/TriWest
- United Healthcare (PPO, POS, EPO)
- Workers' Compensation (with many different insurance carriers)
physiofit physical therapy || 1000 fremont avenue, suite 108 || los altos, ca 94024 || p 650.947.8500 || f 650.947.8501
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