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Customer name · Date · Review site
Call to ask about evaluations, appointments and the services offered. Confirm referral, insurance and preparation requirements before your visit.
Call (800) 555-0175| Visit | Ask about | Price |
|---|---|---|
| Initial evaluation | Ask what an evaluation includes, what records are needed and how long to allow. | $185 |
| Follow-up treatment | Arrange visits recommended in your agreed care plan and discuss any scheduling questions. | $150 a visit |
| Balance and fall-risk testing | Ask which assessments are offered and what preparation is appropriate. | $120 |
| Post-surgery rehab | Discuss goals, options, limitations and expected costs with your provider. | $160 a visit |
| Home exercise program | Ask how to contact your provider with questions about the program given to you. | $50 |
| Records and referrals | Use the practice’s approved process to share records or coordinate with another provider. | $25 |
Ask about referral or authorization requirements, insurance details, relevant records and suitable clothing. Use the approved process for sharing medical information.
Referral & payment questionsOwner
Serving Anytown, USA since 2003
Your real story goes here: how you started, who you serve and what you're known for.
A real review from one of your customers goes here, shared with their OK.
Customer name · Date · Review site