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Patient history forms

Bodies in Motion,
Stay in Motion...

Are you a new patient?

Here’s how to prepare for your first visit with us, and get started with therapy.

getting started is easy

We understand you might be apprehensive about your first physical therapy appointment. But from the moment you set foot through our door, you’ll feel like you belong at LPT. Our welcoming front office staff members are happy to help you begin your path to recovery and answer any insurance, scheduling, or billing questions along the way.

new patient forms

To save time at your first visit, download and complete the following forms ahead of time, and we’ll get you started even faster. Please bring the order for physical therapy from your physician, an updated list of current medications (including dosage), and insurance cards. We also suggest that you wear good supportive shoes.

CLICK TO DOWNLOAD 
Medical History Form

WHEN SHOULD I ARRIVE

Please arrive 15 minutes before your scheduled appointment time in order to complete all necessary paperwork. To save time, please complete forms ahead of time, and we’ll get you started even faster.

WE'RE A TRUSTED PROVIDER

We are a provider for most insurance companies.  If your insurance plan is not found on the following list please call the office.  We will be more than happy to verify.

Aetna (RPN) 
Anthem BC/BS
Buckeye Community Health
Cigna 
Humana
Medicaid 
Medical Mutual
Medicare 
Ohio Department of Labor

Summacare
Thera Matrix
Tricare
Unison 
United Health Care 
Workers' Compensation

AULTCARE

Primetime Health Plan

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