| Patients may be seen at Omaha
Sports Physical Therapy with or without a written
referral for physical therapy. Many insurance
companies, however, require a written referral
and/or pre-authorization for payment of physical
therapy services.
Verify
insurance coverage by:
- Contacting
your insurance company to confirm physical therapy
coverage.
- Determining
your insurance company's:
 yearly
dollar coverage limits,
- number
of approved treatment visits for therapy,
and
- need
for pre-authorization of physical therapy
treatment sessions.
- Recording
the name of the insurance company's representative.
- Recording
any pre-authorization numbers as provided by
the insurance company.
- Persons
with auto accident injuries should obtain information
from their car insurance company on the limits
and extent of their personal injury protection
coverage.
On
your first visit:
- Arrive
10 minutes early to complete the necessary paperwork.
- Bring
your insurance card and information with the
written physician order for physical therapy
treatment.
- Bring
a change of clothes to allow access to the affected
area (e.g., shorts for hip, knee or ankle injuries).
- Plan
for the session to last one hour, your medical
and current injury history will be taken and
a physical examination will be performed to
determine the nature and severity of the injury.
To save time, please download and complete the
following 4 forms, bringing them to your first
visit (each form requires an Adobe
Acrobat Reader).
- Patient
Information
- Informed
Consent
- Medical
History
- Notice
of Privacy Practices & Privacy
Notice Acknowledgment
Omaha Sports Physical Therapy is dedicated to
maintaining the privacy of your identifiable health
information. Please carefully review our Notice
of Privacy Practices describing how we may
use and disclose your identifiable health information,
your privacy rights in your identifiable health
information, and our obligations concerning the
use and disclosure of your identifiable health
information.
After review of our policy, please sign an acknowledgement
of its receipt, Privacy
Notice Acknowledgment.
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