Your First Visit | Indianapolis Pelvic Physical Therapy | Restore

Your First Visit

Indianapolis Pelvic Physical Therapy

Please follow the following steps prior to your first appointment with Restore Your Core!

Step 1: Use this Insurance Benefit Worksheet to determine your insurance benefits for Restore Your Core Physical Therapy.

Step 2: Visit the FAQ page, How does your billing and payments work for additional information?

Step 3: Fill out all forms prior to your first appointment.

These are the forms you will need to print and fill out before your visit to Restore Your Core:

  • Health History
  • Medication List
  • Informed Consent
  • Financial & Cancellation Policies
  • HIPPA Consent
  • Authorization to Use & Disclose Protected Health Information
  • Medicare Policy
  • Credit Card Information

Indianapolis Pelvic Physical Therapy Paperwork

Please do not skip any sections as this will slow the history review and it will cut into your treatment time. Patients who do not fill out their forms completely often do not have time left for treatment. If you are having difficulty printing the forms, you will need to arrive to your first appointment 30 minutes early to allow adequate time to complete the paperwork.  You must leave a voice message at 317-559-2673 at least 24 hours in advance of your appointment stating that you cannot print off the paperwork. This will allow your therapist to have your paperwork ready for you as your therapist will be working with another client when you arrive. Please feel free to email or call with any questions or concerns for Restore Your Core.