NEW PATIENTS
WELCOME TO THE PRACTICE
New Patient Forms
Please print, fill out and bring with you to your initial visit.
​​No Insurance Necessary​
At Ultimate Health and Rehab, we require payment at the time of service by all patients. We do not bill insurances on behalf of any patients. However, we can supply you with a superbill in order for you to seek reimbursed by your insurance. We have determined that many insurances have a co-pay at or higher than our treatment fee or they have such a high deductible that it will not be reached in the typical 6 to 10 visits it takes to resolve a complaint. Strict insurance guidelines frequently have a negative impact on the care we can provide to our patients. This limitation is unacceptable to us as we strive to provide only the best care for our patients. We cannot guarantee that your insurance company will reimburse for care received in our clinic.
Fee Schedule
We accept HSA Healthcare and Flexible Spending accounts. We also offer military and student discounts with a valid ID (20% off exam and all treatment visits which cannot be combined with any other offer)
Initial Exam....................................$99*
Follow-Up......................................$50*
Sports Physicals............................$25
Personal Runner Coaching............$55/month
(minimum 4 month up-front commitment)
Preventative/Maintenance
ART sessions................................$50
Get $30 off your first visit.
* These prices include the "Time-of-Service" discount and are paid at time of service instead of through a 3rd party payer.