Patient Information & New Patient Forms ( see below)

 

  • Introduction
  • Physical Therapy Referral
  • Schedule an Appointment
  • New Patient Forms
  • Your 1st Visit 

 

Introduction

 

As an independently owned Physical Therapy Private Practice, the owners are directly involved to ensure that you receive excellent care while you are attending Mid-Michigan Physical Therapy Specialists

 

We specialize in the rehabilitation & prevention of orthopedic & sports injuries for ALL ages, while we are best recognized for our expertise & success treating spinal related problems. In addition, our Therapists have received significant advanced training & certifications over the years which enables us to provide a no. of specialty services.

Your Physical Therapy Referral (Also referred to as a Prescription or Script)

 

A Physical Therapy Referral can be written by a Medical Doctor (MD) a Doctor of Osteopathy (DO) a Podiatrist (DPM) a Dentist (DDS) and more recently by a Physician Assistant (PA) & a Nurse Practitioner (NP) on behalf of a physician.

 

 If you believe that you would benefit from a course of Physical Therapy for a condition or injury that you have sustained, but do NOT have a referral for P.T. you have a no. of choices:

 

 

  1. You can contact your family physician and inquire if they are in favor of writing you a referral for P.T
  2. Schedule an appointment with your physician and ask them during your appointment for a referral for PT.
  3. If you do not have a family physician, simply call us and we provide you our recommendations.
  4. Schedule a FREE consultation with one of our PT Specialists and then if Physical Therapy is likely to help you, we will then help you to obtain a PT referral.

 

Of note, in the state of Michigan, you are allowed to be seen for Physical Therapy without a PT Referral ( with some restrictions) however, without a physician referral, your therapy will not be covered by your insurance plan , for the current exception of Priority Health.

 

 

For further information about receiving Physical Therapy without a referral and/or you do not have health insurance, please call us directly so we can share with you, the various options that are available to you, as do we have some affordable self-pay plans.

Schedule an Appointment

 

We are always very pleased to have the opportunity to provide therapy at Mid Michigan Physical Therapy Specialists for individuals that live & work in Livingston County & surrounding areas.

 

Whether this is your first time to attend for a program of Physical Therapy or you have received physical therapy in the past, we would like you to know that we are committed to ensuring that you receive excellent care.

1. Simply call our clinic at 517-545-3200 & one of our scheduling team will be available to assist you. 

 

OR

 

2. If you prefer, you can fax your referral to us at 515-545-3236 & include a phone no. where you can be reached AND the best time to contact you.

 

When calling, please have your insurance information available including any secondary/supplemental insurance you may have. Also, if your condition or injury is auto or work related, it is helpful if you can provide us with any authorization information that you may have.

 

We can usually provide you with an appointment within 24 hours, while early morning, evening appointments are available.

New Patient Forms

 

Please arrive for your first Physical Therapy appointment 15 - 20 minutes early so we can review with you your insurance benefits & also to provide you with adequate time to complete a no. of forms (see below) prior to being seen by your Physical Therapist. If you regard your condition or medical history as complex, please arrive 20 - 25 minutes early.

 

For your convenience, you can also download the following forms & perhaps complete them in the comfort of your home, in advance of your initial appointment. If you choose this option, PLEASE remember to bring the completed forms to your first therapy appointment!

 

Medical History Form

 

This form should be completed by all patients, new & returning, Please print & fill out.

 

Medicare Secondary Questionnaire

 

This form should be completed by all Medicare patients. Please print & fill out.

 

Medication Form

 

This form should be completed by all Medicare patients & any other patients that take more than 3 prescribed medications. Please print & fill out.

 

HIPPA Compliance

 

This form, required by the Privacy Act describes how health insurance information about you maybe used or disclosed by our practice. Print

 

Financial Agreement & Consent Forms

 

We will contact your insurance company to verify your Physical Therapy insurance benefits & we will prepare these forms & review them with you, when you arrive for your initial appointment.

 

We recognize that completing these forms can take some time. However, accurate completion of these forms helps to ensure that all insurance requirements are met & your Physical Therapist has the information they need to evaluate & effectively treat your condition.

Your 1st Visit

 

The evening prior to your 1st therapy visit, one of our scheduling team will call & confirm your appointment.

 

In addition, they will:

 

1. Remind you to come early to review your insurance coverage & complete / review a no. of forms.

2. Ask that you please bring the following items to your appointment:

  1. Physical Therapy Referral (if in your possession) 
  2. Forms completed in advance for your 1st visit 
  3. A list of your current medications 
  4. Your Driver’s License 
  5. Your insurance card (s) 
  6. A loose fitting shirt or tank top if we are seeing you for a neck, shoulder or elbow condition 
  7. Loose fitting shorts or sweat pants if we are seeing you for a low back, hip, knee or foot /ankle condition 
  8. Your schedule /planner, so you will be able to schedule your subsequent therapy sessions

3. Confirm the location (Brighton, Howell or Fowlerville clinic) for your appointment and where that clinic is located.

 

When you arrive for your initial appointment, our front desk staff will review your insurance information & other forms to be completed or reviewed, if applicable. 

 

Canceling or Rescheduling your Initial Appt

 

If you need to cancel or reschedule your initial appointment, we would ask that you call us ideally 24 hours in advance, if possible. 

Your Physical Therapy Evaluation

 

It is important that you try to arrive on time for your initial Physical Therapy evaluation. Your initial evaluation will likely take 45-60 minutes & during this time, your PT will thoroughly evaluate your condition, review with you, your evaluation findings, outline a program of therapy that is best suited to your condition & goals & the results that you should expect. In addition, treatment will likely start following your evaluation & may include self care instructions & exercises to perform at home, if indicated.

Scheduling Subsequent Appointments

 

Your Physical Therapy Referral, your Insurance coverage & your Physical Therapy evaluation, as well as your individual  circumstances all play a part in determining how frequently & for how many weeks you will need or are able to attend for Physical Therapy. Your PT will discuss this with you at the conclusion of your initial evaluation.

 

We recommend that you schedule all of your (approved) PT sessions ASAP (if you know your schedule in advance) as this will enable us to provide you with appointment times that will best fit your needs.

 

Also, we would ask in the event that you need to cancel an appointment, that you please provide us with at least 24 hours notification, when possible.

BRIGHTON MI, CLINIC

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7701 W. Grand River, Suite 100
Brighton MI, 48114

Vector (1)

OUR HOURS
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.

Vector (2)

CONTACT US
Phone:     517-579-2839
FAX:    517-579-2838

Vector (3)

LOCATION DETAILS
Our Brighton Clinic is located approximately 1/4mile east of the Woodland Center (same side of the road) and is the next driveway after Bendix Rd.

HOWELL MI, CLINIC

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2810 W. Grand River, Suite 100
 Howell MI, 48843

Vector (1)

OUR HOURS
8.00AM* to 7pm Mon-Th.
8.00AM*-5pm Fri. Sat. By Appt.
*Appts prior to 8am are often available upon request.

Vector (2)

CONTACT US
Phone:     517-545-3200
FAX:    517-545-3236

Vector (3)

LOCATION DETAILS
Our Howell Clinic is located approximately 1/4mile east of the Tomato Bros. Restaurant (same side of the road) and beside L.O. Eye

FOWLERVILLE MI, CLINIC

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125 E. Grand River, P.O. Box 323
 Fowlerville MI, 4836

Vector (1)

OUR HOURS
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.

Vector (2)

CONTACT US
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.

Vector (3)

LOCATION DETAILS
Our Fowlerville Clinic is located downtown Fowlerville beside the Fowlerville Pharmacy and a few doors down from the  Bloated Goat.     

Are You Wondering If Physical Therapy Is Right For You ?

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