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 contracted with Medicare and we can bill most PPO plans with out-of-network coverage. We also accept Worker’s Compensation and private pay.
As a courtesy, we will verify your insurance coverage prior to your first appointment and bill your insurance for treatment.
Deductibles, co-insurance, and payment for products 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. As a small private medical practice that reserves a full hour for your care, it is critical you provide adequate notice if you cannot come to a scheduled appointment. Otherwise, it leaves a hole in your therapist's schedule that cannot be filled.
Late cancellations and no-shows are subject to a $50 fee, which you will be expected to pay at the next appointment.
Need to cancel? Call us now.