Integrated Physical Therapy

(608) 658-5352

Fax: 1-888-965-4018

Contact Us:

Dee Aussprung

Team:

Dee Aussprung
Heather Hartwig Stokes
Kate LaZotte
Sarah Voung
Peggy Hojem

Directions:

Locations

Evaluation Forms

 


 



Integrated Physical Therapy

Instructions

Please print and complete these forms in their entirety prior to your first appointment. Your attention to accuracy in completing these forms will allow us to bill your insurance company correctly.

This will allow us to spend more focused time on your treatment during your first visit. Please bring these 4 forms with you along with your insurance identification card (s).

Evaluation Forms

 

Insurance Verification

Fill out this form if you prefer to call your insurance with your specific coverage details.

Insurance Verification

 

 

 
2275 Deming Way Suite B 100 Middleton, WI 53562