Welcome to Callan-Harris Physical Therapy

Before your initial visit, you will need to fill out some required New Patient forms.
Please click on the items below, print them out and bring the completed forms with you to your first visit.

Fill out Physical Therapy Intake
as well as the form most appropriate for what you will be seen for:
Low Back; Lymphedema; Knee; Shoulder/Hand or Foot/Ankle.

If you are a massage client, fill out only the Massage Intake forms.

• If you are running 10 or more minutes late for your appointment, we may have you reschedule so as not to put the therapist behind in their schedule.

• Our practice requires a 24-hour notice for all cancellations. If a scheduled appointment must be cancelled within 24 hours of the scheduled time, there will be a charge equal to your co-payment (or a fee of $20.00 if your insurance does not require a co-payment for visits to a specialist). If you do not show up for your appointment, the same charge will be applied. We are holding the time spot for you and may be able to give the time to another patient who has requested a visit.

• Should you have more than 3 missed appointments or cancellations with less than 24 hours notification, we will no longer schedule your appointments in advance. You may call on the day you would like to be seen to inquire if any appointments are available.

• If your insurance requires referrals, you need to be sure that you have them in place prior to your visit. When your referral runs out, you may be liable for full payment if your insurance company denies the visit. Please be aware that it is your responsibility to speak with or visit your physician to have referrals in place. Our office cannot get a referral for you. (We can, however, get additional visits on a referral already in place up to the maximum visits allowed on it.)

• There will be a $5 charge for any bill that needs to be mailed to you for payment on your account, so please stop at the desk to take care of your co-pays when you arrive at the office.

• If you are not sure of your co-pay amount, we will charge $20 at the time of service and adjust after insurance remittance.

• Our office phone is not for personal use, so please do not ask our personnel if you may make a call.
  

• We ask that you not talk on your cell phones in the waiting area as it disturbs other patients and makes it difficult for our personnel to communicate with patients in the waiting area.

• Please do not wear perfume/cologne to your visit. Many of our patients and staff have sensitivities to strong scents.

Thank you for helping us to keep things running smoothly