Phone: (402) 483-0006 | Fax: (402) 483-0382
Menu

Patient Information & Forms

Home / Patient Information & Forms

When you come to Complete Physical Therapy, we know you want to get back to health fast. In order to save time on your first visit, you can complete the PDF and print it or print the paperwork and fill it out by hand and bring it with you. If you cannot get the paperwork done at home prior, please arrive 15 minutes early to your appointment.

Want to get a head start on your registration? That is great! You can save time on your first visit by:

Fill out the form by clicking the link below (either on your computer and print or print and fill-out by hand) and bring it and your insurance card to your first visit.​
Call us at (402) 483-0006 and schedule your appointment
Please arrive 15 minutes prior to your appointment to allow us to scan appropriate documents and finalize any information.

Clicking on the buttons below will launch a new window where you can securely submit your patient registration electronically. Please be as complete as possible. If you have issues, you can also print the form and fill it out by hand or fill out the same electronic or paper form at our office. For security and verification, you will receive a confirmation password e-mail after entering your name and e-mail address prior to entering your registration information.

Insurance

We accept all major insurance carriers!

It is always important that you know your personal health insurance coverage benefits. We encourage you to inquire with your insurance company about your individual benefits before your initial evaluation. Our front office typically calls your insurance company to verify your benefits and coverage, but being proactive about knowing your benefits will prevent incidents of non-coverage that can be unexpected and frustrating. Many policies require those covered to pay a deductible before the insurance company will contribute to covering service costs. The number to call your insurance company should be listed on the back of your insurance card. Before you call, here are a few questions to ask prior to receiving treatment:

  • Is a referral or prescription for physical therapy required for my visits to be covered?
  • What are my deductible and out-of-pocket amounts and how much has been met of each?
  • Do I owe a co-pay prior to treatment?
  • How many physical therapy visits does my policy allow me per year?
  • What percentage of the costs of services will I be responsible for paying after insurance has contributed?