First Visit Check List

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Please ensure that you have the following things available for your first visit :

– Physician’s referral or prescription for physical therapy
 *Please note that this is not a necessity as Wisconsin is a Direct Access state. Prior to your first visit we will perform a complementary benefit check and let you know if one is required. 

– Insurance Card

– Photo ID

– Any available imaging results relevant to your concern

– A List of your medications, allergies and prior doctors

– A List of any past medical conditions or procedures

– A list of any questions or concerns that you may have

– 15 Spare minutes for completing all necessary paperwork

* For your convenience you can print our intake forms via our website to have available prior to your visit

Click here to Download a .pdf version of the First Visit Checklist

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Vita Physical Therapy

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