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Patient Resources

Patient Forms

For your convenience, we've provided our patient forms below. To help expedite your first visit, please click the button to download, print and complete the forms. Bring them with you when you come in for your first visit.

If you choose to fill out the patient forms at our office, please arrive 15-30 minutes before your appointment to allow enough time to complete the paperwork prior to your appointment.

PT patient planking

PT exercise ball

Accepted Health Insurance


We are in-network for most major insurance companies such as:

  • Medicare
  • Blue Cross, Blue Shield/Anthem
  • State Fund WC
  • VA/Triwest

  • We are happy to verify all insurance benefits prior to your first visit. Even if we are an out-of-network provider it may only mean a slight increase in your deductible or copay.

    No Insurance?

    Alpine Physical Therapy offers a self-pay option. There is a $110.00 per visit initial Evaluation Fee and all follow-up visits are $75.00 per visit on a self-pay basis.


    Please call us at (530) 832-9642 with any questions about insurance.