Are You A New Patient? Download Our New Patient Paperwork Here.

 

The New Patient paperwork and related questionnaires are available below. If you would like to complete the forms ahead of your appointment, please click on the name of the document you want to download and save it to your computer (requires Adobe Reader).

Our New Patient paperwork is saved as a PDF form; it can be filled in on your computer. You can either email back your forms or bring a hard copy to your evaluation. However, our office does provide these documents when we confirm your evaluation.

If you are unable to complete the paperwork before your evaluation, please arrive 20-30 minutes early to fill out the forms here.

New Patient Paperwork

Parkinson’s Disease Questionnaires

Post-Concussion Questionnaires

 

What to Bring to Your First Visit:

  • New Patient paperwork
  • Driver’s license / photo ID
  • Insurance cards
  • Referral from medical provider
  • Recent 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.

 

Insurance Coverage

Vortex accepts and bills Medicare, PPO plans with out-of-network benefits, and Worker's Comp plans. We also offer a discounted private pay rate to those without insurance coverage.

Please call if you would like our office manager to verify your insurance coverage.

Patient payments for deductibles, co-insurance, and supplies are collected at each visit.

Read More About Our Insurance and Billing Policy

Cancellations & No Shows

We have a 24 hour cancellation policy. If you late cancel, we cannot offer the appointment to a waiting patient and your therapist has a hole in their schedule.

Vortex charges $75 for late cancellations; $100 for no shows. These fees are owed by the patient and are collected at the next scheduled appointment. Insurance does not pay for missed appointments.

Need to cancel? Call us now.

Learn More About Our Policy

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.

Download Your New Patient Form