First Appointment

Thank you for choosing Fundamental Physical Therapy.  We are committed to giving you the best medical treatment possible.  In order to maintain our high standard of care we ask that you come prepared for your appointment and have a clear understanding of your insurance benefits. 

What to Bring to Your Appointment

  • Your insurance verification
  • Physician referral – Oklahoma law requires that we have a current prescription for physical therapy on file from your physician.  It is the patient’s responsibility to obtain updated referrals (scripts) from the physician. 
  • Recent x-rays or relevant records
  • Medication list

Please print out and complete the following forms:

Patient Information

Insurance and Payment Information

  • Payment is expected when services are rendered.
  • The patient is responsible for all charges for services by Fundamental Physical Therapy.

As a courtesy to our patients we will file with your insurance company.  However, benefits are not a guarantee of payment and you are responsible for services not covered by your insurance company.  

Supplies:  These are not covered by your insurance company and are the patient’s responsibility at the time of purchase. 

If you have any questions regarding your insurance information, please do not hesitate to contact us at 405-513-8118. 

Cancelled/Missed Appointments

Failure to cancel your appointment within 24 hours will result in a $25.00 charge to you.  If you are 15 minutes or more late for your appointment your treatment will be shortened or you may be rescheduled for another day. 

In the event you are unable to call during regular business hours our answering machine is on 24 hours so you may leave a message. 

© 2016 Fundamental Physical Therapy 3500 S. Blvd, Ste A1, Edmond, OK 73013 (405) 513-8118 Fax (405) 513-6490 ®All Rights Reserved
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