Physical Therapy Forms

Download important forms for your Physical Therapy Sessions

Physical Therapy

In Wisconsin there is direct access to Physical Therapy. This means that no prescription is required from a MD or DO in order for Physical Therapy services to be rendered. However, open communication between therapist, client and her physician is encouraged.

WHYoga-PT is Out of Network for all insurance companies. It is recommended that the insurance worksheet (download here) be used when contacting your insurance company for info regarding your plan’s specific Out of Network PT reimbursement coverage.

In order to deliver quality time and care, WHYoga-PT is a cash based facility centered on the client’s healing process. If using insurance, a receipt will be sent indicating PT codes for the services provided.  It is your responsibility to submit the receipt to your insurance company for reimbursement.

Forms:

Informed Consent Form Client Status Form Insurance Worksheet Intake Form Privacy Notice