Please print and fill out all "Initial Examination Intake" forms and choose the appropriate "Injury Specific" form to bring with you on the day of your initial evaluation.
Initial Examination Intake
Injury Specific Forms
We are In Network with the following insurance carriers:
Anthem Blue Cross Blue Shield
Dean (PPO Only)
Group Health Cooperative
Physician's Plus (PPO Only)
Tricare and Health Net Federal Services
United Health Care
United Medical Resources (UMR)
VA-Madison, VA Milwaukee
Worker's Compensation - Align, Homelink
*If your insurance is not listed, please call us. The list is always changing.
In Wisconsin you may see a Physical Therapist without a doctor's referral.
If a referral is needed in order for insurance to cover services, we will work with your appropriate provider to obtain it.
We accept most major PPO health insurance plans and offer competitive self-pay rates* for patients with HMO plans or without health insurance.
*See below for a list of our self-pay rates and services
Physical Therapy Self-Pay Services
Treatment or Service
Physical Therapy Evaluation & Treatment
5 PT Treatment Package ($5 off/visit)
10 PT Treatment Package ($10/visit)
30 Minute Session Therapeutic Body Work*
5 Pack 30 Minute Session Therapeutic Body Work*
30 Minute Cupping Therapy Session*
30 Minute Massage Chair
5 Pack 30 Minute Massage Chair
45 Minute Infrared Sauna Treatment
5 Pack 45 Minute Infrared Sauna
*Must be evaluated by a Physical Therapist