PRESCRIPTIONS

The state of Oregon grants direct access to clients for physical therapy. This means that a prescription is not necessary for you to be seen in the clinic. However, please note that your insurance company may require a physician's prescription to cover your visit. Please check with your insurance company to find out your coverage requirements.  Despite differences in insurance policies, we are happy to update and collaborate with your healthcare provider regarding your care regardless of your policy.

 

 

PAPERWORK

Please print and complete the necessary "New Patient" forms for your first appointment. If a printer is not available to you, please arrive 15 minutes early to your initial evaluation.

 

 

CLOTHING

It is important that you wear comfortable clothing that allows your to move freely during your examination and should allow your physical therapist to see the affected area easily. Generally, it is good to wear shorts and ladies should wear a tank top/sports bra should the affect area include the shoulder or upper/mid/lower back. Comfortable shoe wear is necessary for exercise. Should you not have the required clothing, we do provide shorts, t-shirts and medical gowns as necessary to perform the evaluation.

Billing, Insurance and Company Policies

MCOPT is a preferred provider for all local and most national insurance plans.  Please contact our office prior to your appointment to ensure that we accept your insurance.  We will gladly file claims on your behalf, however, you are ultimately responsible for your account balance. 

- We are not providers for OHP, Trillium, Pacific Source Community Solutions, United Health Care, UMR, AARP Medicare Advantage, Lifewise, Kaiser Permanante, or Health Net Medicare patients.

 

REFERRALS - Some insurance plans require that you obtain a referral from your primary care provider in order for your visit to be covered.  Failure to obtain the necessary referrals may lead to your visit being denied and as a result, your having to be responsible for the entire balance. 

 

PAYMENT AT TIME OF SERVICE - We ask that you remit payment for any applicable co-payments, deductibles, or co-insurance amounts at the time of service.  Once your insurance carrier has processed your claim, any outstanding balance not collected at the time of service will be billed to you. 

 

NO INSURANCE - If you do not have any insurance coverage, or if there is a question of whether or not your insurance carrier will cover your visit, we require a payment of $150.00 at the time of service for your initial evaluation and $125.00 per visit thereafter. However, if you do have insurance, we legally have to bill your insurance and are unable to see you as a self pay patient.

 

OUTSTANDING BALANCE - If you do have an outstanding balance due, we would appreciate your prompt payment in full.  In the event that you are unable to make payment in full, please call our business office at 541.988.3337 and we will be happy to arrange a payment plan for you. 

 

DELINQUENT ACCOUNTS - If multiple attempts to collect payment from you are unsuccessful, we reserve the right to turn your balance over to a collection agency.  In addition to the balance due, you will also be responsible for any legal or collection agency fees due. 

 

RETURNED CHECKS – A $20.00 fee will be assessed for each check returned for insufficient funds.

 

CANCELLATION POLICY -  If it is necessary to cancel your appointment, we kindly ask that you give us at least 24 hours notice so that the appointment may be reallocated to someone who is in urgent need of treatment.  Failure to do so may result in a $30.00 No-Show fee.

 

NO SHOW POLICY – If you miss your appointment and fail to call us, we will consider this a “No Show” and it will be documented in your chart.  A $30.00 No Show fee may also be assessed.  Repeated "No Shows" may result in a temporary suspension of services.

 

REQUESTS FOR COPIES OF MEDICAL RECORDS – If you are requesting a copy of your medical records for yourself or a third party, we require a signed authorization by the patient or their Legal Representative, and a minimum $25 copy fee.  This form may be faxed in to 541.988.4296. 

AUTHORIZATION TO VERBALLY RELEASE MEDICAL INFORMATION – In order for us to discuss your medical or billing information with members of your family or others that you may designate, we must receive your authorization prior to doing so.

 

 

Forms You May Need

Contact Us

 

P: 541.988.3337

F: 541.988.4296

 

Address:

145 South 52nd Place

Springfield, OR 97478

Other Information

Disclaimer: This website does not provide medical advice and does not direct that you follow in any specific exercise or fitness program. You are directed to consult a physician before beginning any activitiy in this website. 

© 2023 by Natural Remedies.

 

Photo credits: Photos by Sara Garfinkel.

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