NEW PATIENT FORMS

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Patient Forms

 

Notice of Privacy Practices

(for your records only)

Pelvic Floor Patients Only

 

INTAKE PELVIC HEALTH (FEMALE) Form

 

INTAKE PELVIC HEALTH

(MALE) Form

 

INTAKE PRENATAL &
Postpartum Form

patient information

insurance

We offer services and have a contract with wide variety of insurance companies.
Please call or email for questions about your specific plan. Here is a list of insurances that we accept:

 

  • Aetna
  • AR Community Care
  • Blue Cross Products
  • Cigna
  • Care Improvement Plans
  • Coventry
  • Humana
  • Medicaid

 

  • Medicare
  • Municipal Health
  • Qual Choice
  • Tricare
  • United Health Care
  • VA
  • Workman's Compensation

 

Searcy Physical Therapy

801 West Beebe Capps Expy  •  Searcy, AR 72143

501.268.2513

 

Des Arc Physical Therapy

1108 HWY 11 North  •  Des Arc, AR 72040

870.256.1555

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