Appointment Request Form

Request Appointment at Beyond Basics Physical Therapy
Contact Information
Personal Information
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In order to maintain our high standard of care and individualized treatment sessions, Beyond Basics Physical Therapy is an out-of-network provider for most insurance plans. Your plan of care will be based on the professional assessment of your physical therapist and physician. Insurance companies will not dictate the care you receive. Functional goals will be established to meet your specific needs and not industry minimums set by insurance companies.

Parent/Guardian Information

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Communications with our office via this website are not intended to replace an office visit. Please do not include any personal health information when completing this form. This form should be used only for routine and non-urgent matters. If you are experiencing a medical emergency, please call 911 or go to your nearest hospital emergency room.