Forms & Insurances
All you need to know about billing and coverage
Pain or injury? Get it checked out
Forms requiring completion
You are expected to complete and submit the following forms:
- Benefit Assignment Form — This form must be filled out when claim payment is assigned to the Provider.
- Electronic Transmission Authorization and Consent Form — This form must be filled out when claims are submitted electronically by the provider on the patient’s behalf.
Easy Therapy Intake Form
The following document will assist you in expediting the check in process for your appointment. Please print and complete the following forms and bring them with you to your first appointment. Simply print the appropriate form and follow the instructions.
Download & Print – Easy Therapy Intake Form – Here
Print it and then fill it out. Bring it along with you to your first appointment.
At Easy Therapy, we’ll help you take control of your body and feel better so you can focus less on pain and dysfunction and more on the things you enjoy. It’s that simple.
To talk to us directly, please call.