Patient Forms

All forms are printable PDF files. If you are not able to view the files, you can download Adobe Reader below.

Click here for Health History Form
Click here for Cancellation Policy Form

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Insurance Information

Referral Information / Payment

Northern Arizona Rehabilitation & Fitness is a participating provider for almost all insurance companies in our geographical area. Contact our office if you are unsure of our provider status with your particular insurance company.

Although physical and occupational therapists may treat patients without a written referral, most insurance companies require a prescription from a physician for coverage. Our staff will be happy to verify your insurance coverage on or before your first visit.

We will bill your insurance company for you, but we require deductibles and co-payments to be paid at the time of service.