Patient Forms & Resources

Your First Visit

What to bring on your 1st visit:

  • Please arrive 15 minutes early to fill out forms.
  • Insurance Cards
  • Doctor’s prescription
  • List of medications
  • Please wear loose fitted clothing. For lower body injuries: hip to feet it is recommended to wear shorts but is not required.
    You may also bring clothes to change into.

What to expect on your 1st visit:

  • Evaluation with therapist
  • Development of personal treatment plan based on medical necessity.
  • Partial treatment may be included (Determined by insurance)

Forms

Word Doc Patient InformationPDF Doc Patient Information Word Doc Pain Assessment ChartPDF Doc Pain Assessment Chart

Financial Policy

As a courtesy to our patients Phelps & Associates, Physical Therapy will check your insurance coverage. However, we cannot guarantee benefits will be paid as quoted by your insurance. Patient’s portion is expected at the time services are rendered. We suggest you contact your insurance company to check your plan benefits for Physical Therapy. Please check with the front office if you have any questions. It is your responsibility to understand your specific insurance plan and its coverage. It is our policy to bill your insurance carrier as a courtesy to you, although you are responsible for all charges incurred. We do accept Cash, Check, Visa, or MasterCard as method of payment.

Insurance

Because of our long history of treating a large population of patients we are often asked by the insurance companies to be a “preferred provider”. A “preferred provider” is a healthcare provider that has a contract with the insurance company to accept the “contracted rate” of billed charges agreed by the insurance company and the healthcare provider. By accessing a “preferred provider” through the insurance company it can greatly reduce “the patients” out-of-pocket expense.

Due to economical times we have agreed to help our patients with their out of pocket expense by agreeing to be “preferred providers” for several insurance companies. This helps our patients by reducing their out of pocket expense (deductibles & co-insurances/co-pays) but at the same time delivering the same quality care.

Our office is contracted with the following health insurance companies:

  • Aetna
  • Bay Area Delivery Drivers
  • Bay Area Painters
  • Benesight
  • Anthem Blue Cross
  • Blue Cross Federal Government
  • Blue Shield
  • California Iron Workers
  • Carpenter’s Ins. Trust Fund
  • CCAH, Healthy Families
  • CIGNA
  • Coastal Healthcare
  • Corvel
  • Delta Health Systems
  • Electrical Workers (IBEW)
  • First Health / CCN / Coventry
  • Great West
  • Healthy Families Blue Cross
  • MCSIG
  • Medicare Part B (Medical)
  • Monterey Public Emp. Trust
  • Monterey Culinary Ins. Co.
  • Nippon Life Insurance Co.
  • Operating Engineers
  • Pacific Health Alliance (PHA)
  • Pinnacle Claims Managememnt
  • Pipe Trades Health, Blue Cross
  • Principal Financial Group
  • Printing Specialties
  • Sheet Metal Workers
  • Teamsters
  • Transwestern
  • TriCare / TriWest
  • Tri Counties Trust Fund
  • UFCW
  • UFCW Bay Area
  • United Agricultural Benefit Trust
  • US Department of Labor
  • Western Growers

Workers Compensation – Requires authorization from MD’s office.

Private pay Rates

**If an insurance company isn’t listed please contact our office**