1. You do not need a referral from your doctor to be seen by the therapist for 30 calendar days.

   1. This saves a trip to your PCP if it is an issue that is normally addressed by physical therapy.

   2. If it seems like issues that are not improved by physical therapy are present, then we'll advise seeing the appropriate provider.

   3. If we are having success with treatment and need a little more time, a quick visit to your PCP can let us continue our progress without interruption.

2. No insurance is accepted for payment. We are a cashless business that accepts credit cards.

   1. Insurance at very least influences physical therapy treatment and we want the sole focus to be on resolving your issue, not justifying reimbursement from insurance.

   2. We can switch between issues from appointment to appointment without concern for insurance approval.

   3. There is no limit to how many treatments you can have per year.

   4. We decide frequency of treatment and can make adjustments to the total number of visits and how often you are seen without fear of insurance denial.

1. Your first appointment is a one hour evaluation to establish a need for continued care. 

2. We will discuss your condition for as little or as much time as needed.

3. We will perform indicated testing to confirm what we suspect from our discussion.

4. We can get straight to recovery interventions as soon as we have enough information to be effective.

5. Future appointment duration and frequency will depend on your needs for recovery and what you are able to do by yourself outside of appointments.

6. There are three appointment types available after your evaluation:

   1. One hour treatment: You need more supervised help or we are still unraveling the mystery of your issue

   2. Thirty minute treatment: We have a good idea what will provide recovery but manual therapy and supervision for specific movements causing or relieving issues are still helpful.

   3. Fifteen minute treatment: manual therapy is still helpful but you already have a handle on your exercises and self provided interventions.

1. You get one on one attention for the full duration of every appointment, no double booking of clients.

2. The focus will be on how we can make you feel better using physical therapy rather than building a case to justify insurance reimbursement. 

3. We will use test and retest methods to insure specific diagnosis. 

   1. Sometimes correcting issues takes time and we want to explore all possible causes.

   2. This is not always the case but it is possible to have perceivable improvement during the first treatment.

   3. We don't end up with a long list of things for you to do at home and we can identify your most beneficial exercises.

4. We don't use some of the specialized equipment that you might find in other physical therapy clinics. It has its place in physical therapy, but we want to find the recovery methods you can readily use on your own.

   1. We're here to help you help yourself. 

   2. Our goal is to prioritize the most readily available intervention (exercise) and give you portable tools for truly independent recovery, so we remove the potential to "need" treatments with regularly scheduled appointments over a long period of time.

   3. It's not because other interventions can't be helpful but our goal is for the solution to your problem to be readily available without an appointment. 

   4. The solution should also be simple to implement with cheap, easily portable equipment, equipment common to any commercial gym, or without equipment.

   5. Overall, we want you to have an efficient home exercise routine that fits your schedule and resources.

5. We use manual therapy techniques when needed. 

   1. We focus on skilled interventions performed directly by a licensed professional. 

      1. We use dry needling, joint manipulation, and soft tissue techniques when exercises need a little assistance to make appropriate changes to muscles.

1. I want to spend my whole appointment one-on-one with my physical therapist.

2. I'm not sure why I am in pain or other disfunction. 

   1. I had no traumatic injury, and no structural defects on imaging that explain my pain.

   2. I felt fine, took some time off from working out or sport, and randomly woke up in pain.

   3. I had an injury years ago that comes back periodically and is worse each time it returns.

   4. I had a recent injury, and the doctor says I'm cleared to return to normal activity but I don't feel ready.

   5. I have an injury that gets better with rest but comes back once I start using my body normally again.

3. I want to see if my condition can improve through exercise and a better understanding of my body.

4. I want an easy to schedule second opinion on what is wrong and how to fix it. 

5. People who work through pain but wish it would just go away- "I can still ____ but I have to avoid ____, it been months/years.

6. People who want to avoid surgery- "I wish there was a less traumatic and expensive way to make the pain go away."

7. Self driven people that have recovered after an injury but still have a nagging pain or weakness.

   1. I have found things that help but the duration and amount of relief isn't consistent.

   2. It feels like I am close to being 100% but there is a piece to the recovery puzzle missing. 

8. I want to improve my musculoskeletal health using skills and knowledge gained through a patient empowerment treatment model.

9. I have a high deductible or a high copay and I am paying a lot out of pocket anyway using insurance.

10. My insurance allows seeking physical therapy treatment for cash. (Call your insurance company if unsure.)

    1. Some insurance providers will not allow you to enter a cash contract with a physical therapist.

       1. Physical therapists can face legal ramifications for seeing these patients in some cases.

       2. This is especially true of Medicare and Medicaid plans but can be true with other providers as well.

       3. Physical therapy organizations and lobbyists are fighting to allow physical therapists to see these patients on a cash basis but the laws have not yet changed.

          1. Currently proposed legislation to make changes to this restriction. You can contact your Congressional representatives to share your opinions on this bill:

https://www.congress.gov/bill/119th-congress/house-bill/4204