Click the orange button below to download the New Patient paperwork (requires Adobe Reader).
These forms can be filled in on your computer and returned via email or printed out and brought to your appointment. If you need assistance with the forms or are unable to complete them in advance, please arrive 20-30 minutes before your scheduled appointment time to complete them here.
New Patient Forms
Please bring the following items to your first visit:
- New Patient paperwork
- Driver’s license / photo ID
- Insurance cards
- Referral for physical therapy
- Recent diagnostic test results (CT, MRI, VNG)
- Medication list *
*Medication list should include dosages and frequency of prescribed and over-the-counter medications, as well as vitamins and supplements.
Vortex is a contracted Medicare provider and can bill most PPO plans with out-of-network coverage. We offer a discounted private pay rate to those without insurance coverage and accept Worker's Comp on a case-by-case basis. Please call for information.
As a courtesy, prior to your first appointment, we verify your insurance coverage. Vortex will submit claims to insurance for treatment.
Deductibles, co-insurance, and payment for supplies or services not covered by insurance must be made at the time of your visit.
For your convenience, our New Patient paperwork is available to download as a PDF form. Please download and complete these forms in preparation for your first appointment. You can email them ahead of time or bring them to your evaluation.
Cancellations & No Shows
We require 24 hours notice to cancel or reschedule an appointment. Late cancellations leave a hole in your physical therapist's schedule that cannot be filled. Insurance companies pay physical therapists are paid for time spent treating patients. If you don't come, Vortex isn't paid.
Vortex charges $50 for late cancellations; $75 for no shows. Fees will be collected at patient's next scheduled appointment.
Need to cancel? Call us now.