For Patients

Patient Forms

If you are a new patient, please print and complete the forms listed below and bring them with you to your first visit. You can also complete the forms upon your arrival.

Patient Intake Form (PDF)
Medical History Form (PDF)
Statement of Financial Responsibility (PDF)
New Notice of Privacy Policies Act (PDF)

In addition to the Intake Forms above, please download and complete the Functional Questionnaire that applies to body part that needs treatment.
Neck (PDF)
Back (PDF)
Upper Extremity (PDF)
Lower Extremity (PDF)

Frequently Asked Questions

How long will my appointment last? What can I expect?

The first physical therapy appointment will be the initial evaluation and this session will last approximately one hour. During this time, you and your physical therapist will evaluate your condition, diagnose tissue involved and together create a treatment plan and goals.

What should I bring to my first appointment?

If you have the following, it is appropriate to bring them to your first appointment:

  • A copy of the referral from your physician.
  • Medical Insurance card or information.
  • Any additional medical information that would be helpful for your therapist including xrays.
How should I dress?

Always dress comfortably for physical therapy. A portion of the first physical therapy will be treatment based, so your therapist will need access to the body part that is being treated. Therefore if we are treating a lower extremity shorts or loose pants that can expose the involved area are desired. And if we are treating an upper extremity a camisole or loose top is an appropriate choice. Spare shorts and patient gowns are available at the facility as well as private room to change if needed.

Do you have lockers or showers to use during my appointment?

At Inspire Physical Therapy we provide storage cubbies for placing personal items, a private room available for changing clothing and patient restrooms. However we DO NOT offer lockers or showers at our facility.

Do I need a referral from a doctor to be seen at physical therapy?

That answer is NO! Alaska is a direct access state, meaning that you DO NOT need a referral from a medical doctor to be evaluated and treated by a physical therapist.

With that said, there are some limitations with insurance coverage when a doctor has not prescribed therapy. However as a courtesy, Inspire Physical Therapy confirms each patient’s specific PT insurance benefits prior to the first visit to ensure a full understanding of coverage and financial responsibility. It is certain that MEDICARE, MEDICAID and MILITARY insurance WILL NOT COVER PT unless prescribed by a doctor.

Do you bill insurance for PT services?

Yes, we do! All billing for the Physical Therapy services rendered at Inspire Physical Therapy are billed through our office on your behalf with the help of Alaska Billing Service. Alaska Billing Service is a professional billing company that Inspire has a contract with to assist with all insurance claims and patient collections.

For any account questions, please contact Alaska Billing Service at 907-751-8162

To make a payment on your Inspire Physical Therapy account please call 907-751-8165

Which insurance are you contracted with?

Inspire Physical Therapy is contracted with most major medical insurance providers including, but not limited to:

  • Blue Cross Blue Shield
  • Aetna
  • United Health
  • Cigna
  • Humana
  • ODS
  • Medicare
  • Medicaid
  • Denali Kid Care
  • State of Alaska and Municipality of Anchorage Providers

We also accept the United States Military Insurance (formerly Tricare, but as of April 1st 2013 is now administered through United HealthCare) Workman’s Compensation and Motor Vehicle Accident Claims. Please call the clinic with any questions regarding any insurances not listed above.

How much does insurance pay?

Individual Insurances each have variable coverage. As a courtesy to our patients, the Staff at Inspire Physical will contact each patient’s insurance provider to verify physical therapy benefits. Please note that this is not a guarantee of payment and it is ultimately the patient’s responsibility to understand insurance benefits.

As a common rule, most insurance providers either cover PT through a co-pay or a co-insurance. A co-pay is a set dollar amount that the patient is responsible to pay for each visit, where a co-insurance is a pre-determined percentage rate that the insurance will cover for each visit and then the patient would be responsible for the remainder (a common example is a 80%-insurance / 20%- patient split).

Insurance Providers

Inspire Physical Therapy is contracted with most major medical insurance providers including, but not limited to:

  • Blue Cross Blue Shield
  • Aetna
  • United Health
  • Cigna
  • Humana
  • ODS
  • Medicare
  • Medicaid
  • Denali Kid Care
  • State of Alaska and Municipality of Anchorage Providers
  • United Healthcare Military and Veterans

We also accept the United States Military Insurance (formerly Tricare, but as of April 1, 2013 is now administered through United HealthCare) Workman’s Compensation and Motor Vehicle Accident Claims. Please call the clinic with any questions regarding any insurances not listed above.

It is our pleasure to assist our patients with insurance verification and benefit understanding prior to or upon their first visit. However, if after our verification there are any further questions regarding benefits, we suggest that you contact your insurance company directly.