Patient Forms

Patient Forms

At Kempton Physical Therapy, we want to maximize your time with us. In order to best serve you, we have streamlined our intake paperwork as much as possible. We recommend filling out your paperwork before your evaluation to maximize your time with your physical therapist. Feel free to download the Patient Intake Packet, print them out and bring them with you on the day of your evaluation. If you are unable to print the forms, please arrive 15 minutes prior to your scheduled appointment time.

• Patient Forms

Before Your First Visit

• Make a list of questions that you have to discuss on your first visit.
• Arrive 15 minutes early for your first appointment.
• Bring your insurance card and a photo ID.
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What to Expect on Your First Visit

• You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
• You will meet with your physical therapist for the initial evaluation.
• During the evaluation, your therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
• Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate with your therapist if anything is hurting or bothering you during the examination.
• Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
• There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit, you will get into the full swing of your treatment plan.
• You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
• Your therapist will write up their findings and treatment plan to submit to your referring physician or another medical professional who you choose.
• If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.

Health Insurance

We gladly accept most insurance plans. Please call us to verify your insurance as we are always adding new insurance plans. To see a full list of the insurances we currently accept, click here.

As a courtesy to our patients, we will verify your health benefits prior to your arrival to determine if there will be a copay, deductible, or coinsurance for therapy services. For those patients who do not have health insurance or those who have maxed out their benefits, we offer a private pay plan.  Please contact us today for more information on our fees for service and payment details.