Welcome, New and Prospective Patients!
Thank you for choosing Woodinville Physical Therapy for your rehabilitation needs. Below you will find the necessary paperwork for your first visit with us. Please download, print, and fill them out completely and bring with you to your appointment. If you forget to bring this paperwork with you, it will have to be completed before your visit. Please arrive 15-20 minutes early to allow us time to put your chart together and get the necessary information in order so you will be ready to see your therapist at your scheduled appointment time. The following is what you will need to bring for your visit regardless of what insurance we are billing for you:
We do recommend that you contact your insurance company to verify your benefits so that you are aware of your insurance coverage for physical therapy. We also appreciate 24 hours notice prior to any cancellation.
Please feel free to call if you have questions regarding paperwork or requirements of your first visit with us at 425.481.1744. We look forward to working with you!
- Your medical insurance card, claim number and any other pertinent billing information, along with a piece of photo identification.
- Comfortable, loose clothing (shorts and/or tank top/t-shirt) will be helpful for physical assessments. We do have shorts available if needed.
- Your daily and recreational shoes, if appropriate for your diagnosis.
- The written doctor’s prescription, current referral for physical therapy if needed.
We do recommend that you contact your insurance company to verify your benefits so that you are aware of your insurance coverage for physical therapy. We also appreciate 24 hours notice prior to any cancellation.
Please feel free to call if you have questions regarding paperwork or requirements of your first visit with us at 425.481.1744. We look forward to working with you!
New Patient Forms
| Information Sheet |
| Office Policy - Health Insurance |
| Office Policy - Motor Vehicle Accidents |
| Office Policy - L&I |
| Medicare Cap Authorization |
| Medical Questionnaire |
| HIPPA Privacy Acknowledgement |
| Notice of Privacy Practices |
| Notice of Non-Discrimination and Accessibility Rights |