Oakeson Physical Therapy

New Patient Information

The following forms can be downloaded to your computer and printed at home to be brought to our Peoria location. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms, bring them to your appointment along with your Prescription from your doctor, a picture ID and your insurance cards.


Forms- Print the form(s) and complete as it applies to the area we will be treating:

  1. Back (Back Index)
  2. Neck (Neck Index)
  3. Arms, Shoulder & Hand (DASH)
  4. Hip, Knees, Leg & Feet (LEFS)
  5. Vestibular/Dizziness (DHI)
  6. Tinnitus (THI)
  7. Dry Needling Therapy Consent Form

Adobe   Readernote: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.


Accepted Insurances

AARP Medicare Complete Great West/One Health
Aetna Healthnet PPO, AHCCCS & some MRP plans
(we are not contracted with any HMO plans)
AHCCCS - WE WILL OBTAIN PRIOR AUTHORIZATIONS
JUST FAX RX & PATIENT PROFILE.
HealthSmart/Interplan
       - Bridgeway Health Solution   Humana Choice Care PPO, Preferred Network
(We are not contracted with Humana GOLD/MRP Plans)
       - Healthcare Partners (formerly SCAN)
       -Healthnet
Medicare Advantage PFFS
       - Maricopa Health Plan/UPH Integrated Health Plan
       - United Health Care Community Plan
(formerly APIPA & Evercare)
Medicare & Medicare Railroad
WE ACCEPT ANY AHCCCS PLAN AS A SECONDARY Meritan & Mertus
Arizona Medical Network (AMN) National Preferred Provider Network (NPPN)
Arizona Foundation for Medical Care & Mertus OptumHealth Network
Assurant/Multiplan Network Pacificare Arizona
Blue Cross Blue Shield- not contracted with MRP or Banner Plans PHCS/Multiplan
Beech Street Preferred Connection Network (PCN)
Broadspire's Preferred Provider Network / Procura Mgmt Secure Horizons
CCN/Coventry/First Health Tricare- Standard and Prime
Cigna/Cigna MRP Tricare for Life
Focus Healthcare Mgmt. VA
Fortified Provider Network (FPN) United HealthCare (not the Empire Plan)
GEHA WE ARE NOT CONTRACTED WITH ANY BANNER NETWORKS AT THIS TIME

We accept industrial/worker comp claims!
REASONABLE CASH PAY PROGRAMS ALSO AVAILABLE

Our Staff will obtain insurance benefits and notify
your patient of their out of pocket expenses and physical therapy benefits!!

Clinic Hours: 7:00am-7:00pm
Oakeson Physical Therapy . 8240 W. Cactus Peoria, AZ 85381 .Office 623-878-9696 . fax: 623-776-0668
www.oakesonpt.com