Documentation
If you would like to become a patient at our clinic, please feel free to download the physician's referral form and have your physician fill it out for you. If you are a physician, please feel free to download our referral form for your records.
Please print new patient forms, fill them out and bring with you to your first appointment or we will provide them when you come in. Bring valid insurance cards and driver's license. Plan to arrive 15 minutes prior to your scheduled appointment.
We accept most insurance carriers.
Remember that once we receive the referral for your therapy depending on the insurance, we may need to follow-up with the insurance company and receive approval for the visits, number of visits allowed and a date range for the allowed visits. If you do not have a secondary insurance, you will also be responsible for a co-insurance which is your cost for the visit. Your policy may also have a deductible for which you are responsible before the insurance will start coverage. If you have not had any medical care throughout the year or it is the beginning of a new year you may have an unpaid deductible. ALL COPAYS NEED TO BE PAID BEFORE YOU BEGIN YOUR THERAPY SESSION EACH VISIT. If you are unsure what your insurance policy provides, you need to call your insurance company. Foley Hand Therapy can verify coverage, meaning we can find out if you have insurance but we are unable to check on each individual patient's policy, that is the patient’s responsibility.
If you do not have insurance and would like to receive hand or lymphedema therapy, you can pay privately. Foley Hand Therapy accepts cash and credit cards.
New Patient Forms: Physician's Referral Form: HIPAA:
Click button below: Click button below: Click button below:
Please print new patient forms, fill them out and bring with you to your first appointment or we will provide them when you come in. Bring valid insurance cards and driver's license. Plan to arrive 15 minutes prior to your scheduled appointment.
We accept most insurance carriers.
Remember that once we receive the referral for your therapy depending on the insurance, we may need to follow-up with the insurance company and receive approval for the visits, number of visits allowed and a date range for the allowed visits. If you do not have a secondary insurance, you will also be responsible for a co-insurance which is your cost for the visit. Your policy may also have a deductible for which you are responsible before the insurance will start coverage. If you have not had any medical care throughout the year or it is the beginning of a new year you may have an unpaid deductible. ALL COPAYS NEED TO BE PAID BEFORE YOU BEGIN YOUR THERAPY SESSION EACH VISIT. If you are unsure what your insurance policy provides, you need to call your insurance company. Foley Hand Therapy can verify coverage, meaning we can find out if you have insurance but we are unable to check on each individual patient's policy, that is the patient’s responsibility.
If you do not have insurance and would like to receive hand or lymphedema therapy, you can pay privately. Foley Hand Therapy accepts cash and credit cards.
New Patient Forms: Physician's Referral Form: HIPAA:
Click button below: Click button below: Click button below: