PATIENT FORMS - INTAKE PACKET

Save valuable time at your first PT visit by filling out your patient registration in the comfort of your home.

Insurance Information

Central Mass PT is a provider for the following insurances:

• Aetna

• Blue Cross Blue Shield

• Cigna

• Fallon Select

• Harvard Pilgrim Health Care

• Medicare

• Tufts

• United Health Care

• Unicare

• Workman’s Comp

• We are also out of network providers for many other insurances. Check with you carrier to find out if we are covered.

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Co-payments are collected at time of service unless prior arrangements have been made with the Office Manager. We accept cash, checks, Mastercard, Visa, American Express, Debit Cards, and Medical Flexible Spending Accounts. Health insurance policies are an arrangement between the insurance carrier(s) and the patient. CMPT will prepare insurance forms, and will bill only as a courtesy to the patient. Depending on insurance coverage, patients may be responsible for a portion of their care. Contact your insurance carrier for details.

Self-Pay Option

We also offer a self pay option for those who have expended their insurance benefits at another facility, have an insurance provider that is not contracted with our facility, have high deductible plans, are uninsured, or are seeking services not billable to their insurance provider (unrelated to an injury or condition- such as improving sports performance).

• PT Initial Evaluation - $125

• Sport Assessment (Movement Screen) - $125

• 60-Minute PT Treatment - $100

• 30-Minute PT Treatment - $75