Printable Forms

Please print and complete requested forms. Forms are downloadable in Adobe PDF format.

Insurance, Billing, Copays, and Referrals​

Billing

information

Questions regarding your statement or other insurance questions related to your physical therapy services.
Please contact Amanda Blackwood:
Email:[email protected]
Phone: 785-427-2691
Monthly statements are mailed out to patients the first week of every month. Co-payments are NOT due at the time of your appointment and will be adjusted into your bill.
Some insurance plans require prior authorization before treatment can be provided. Please be aware if your insurance plan requires prior authorization. This may delay the time between referral and a patient being seen.

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Pay your bill through Square

Use the QR

Or pay through the link

Insurances accepted

Blue Cross Blue Shield

BMI/Providers care Network

Cigna

Kancare- ATENA, Sunflower, United Health Care

Self-pay

Tricare

United Commercial