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Patient Information

In order to best understand your individual disorder, we need you to send us some personal information before your first visit. Seattle’s Elite Physical Therapy would like to make this process as quick and painless as possible. For your convenience, you can fill out the following forms online (no printing necessary!). When you submit your paperwork, they will be sent directly to your physical therapist for your initial visit. If you are unable to complete the forms before you scheduled appointment, you may show up for your appointment 20 minutes prior to your first visit and fill out the forms at the clinic.
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What to bring to your first visit:

  • Your physician referral (prescription for therapy), if applicable. WA is a direct access state, which means most insurances cover physical therapy services without a physician referral
  • Your insurance card or claim number information
  • Loose, comfortable clothing and comfortable shoes (you may change before your visit, if needed)

*Every new patient must fill out all of the forms to the right, in addition the form that applies to the injury in question. When saving your completed forms to your computer, select PRINT, when the print page is open select SAVE. This process will allow the data you completed to SAVE, otherwise you will send the blank form.

New Patient Forms

We are In Network and Accept the Following Insurance:

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We are Out of Network but Accept the Following Insurance:

out of network insurance

Blue Cross Blue Shield, Regence, Premera, Cigna, Lifewise, Aetna, Medicare, First Choice, Humana, Department of Labor and Industry (Worker’s Compensation), Motor Vehicle Accident (PIP claims), and United HealthCare.
Our list of accepted insurance is growing daily. If you have insurance coverage with a company that is not listed, please call us (206) 946-6655 and we will look up your benefits for the services we provide.

Upload Forms Here!

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