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How long will my appointment last?

You can expect your first appointment to last an hour in most cases.  After that, you and the therapist can set an expectation for future dates. Typically, appointments are usually one hour to one hour 45 minutes.

What can I expect at my first appointment?

As with any medical-related appointment, there are forms needed before you can be treated. Please download and complete the forms "paperwork for your visit" (found here ). If you bring the completed forms with you to your appointment, they will speed the check-in process and help us offer you as much treatment time as possible. Your initial visit will consist of a private meeting with your physical therapist. In this initial meeting, to gain a more specific understanding of your condition, your therapist will perform a thorough evaluation, including history, associated health issues, postural assessment, neurological screening, range of motion and strength measurements, neurological assessment and other special tests, palpation, and gait analysis, if applicable. Your physical therapist will use the information obtained from your evaluation to formulate a treatment plan. A rehabilitation program will be developed with our team based upon the problems identified and your personal goals. Your first appointment may be an evaluation only, or, we may have time for treatment also, depending on your specific case. 

What is the treatment like? 


Treatment will consist of hands-on treatment, exercises and instruction in a home program, biomechanical and postural evaluation and reeducation, ergonomic analysis, and functional training in sport, work, or home-related tasks, as well as other techniques to help address your symptoms.


Our intervention programs include coordination among all people involved in your care (our team, and other health care professionals, family, or caregivers as needed), communication to ensure a good exchange of information, thorough documentation of the care and services provided, and instruction to you and others involved in your care.  Your physical therapist will perform a meticulous examination/evaluation, quantifying and qualifying deficits and the problems you are presented with, to uncover the primary source of your symptoms (it may not be where you experience your symptoms)—this is our specialty.


Are the treatment rooms private?


All of our patients are treated in private rooms with doors, not in a large gym with simple curtained-off sections.

What should I wear?

Wear loose, comfortable clothing that allows you to move easily. Sneakers are recommended, but most likely, we will have you remove your shoes. Try to wear clothing that will allow easy access to the problem area (for example, patients with hip, knee, ankle, or foot injury should wear shorts, if possible). Jeans and belts are the most difficult to work through. You are free to change into comfortable clothing in the restroom or one of our treatment rooms before and after your visit.


Do I need a prescription?

Direct access allows patients to be seen for the initial evaluation and then to be treated for a combined total of 30 days without a prescription from a physician or physician extender. At the end of the 30 days, if further physical therapy services are necessary, a prescription from a physician/physician extender would be required. Although most insurance carriers will provide coverage for physical therapy services provided to a patient utilizing direct access, some may not as policies vary from carrier to carrier. It is the responsibility of the patient to verify their coverage prior to scheduling their first physical therapy appointment. Auto or worker’s compensation claims are the exception. If auto insurance or worker’s compensation is paying for your treatment, you will need a prescription.

Do I have to go to the clinic owned by my physician?


You can choose to go to any physical therapy clinic you want. We will communicate your plan of care and progress notes to your physician throughout your treatment.


Will my insurance cover my treatment in its entirety?


Every insurance plan is different. You may have a deductible, or your plan may apply a co-pay or co-insurance for each visit, or you may be covered at 100% with no added costs. Each plan and situation is unique, and we encourage you to understand your plan. Call your insurance company to find out what out-of-pocket expenses you can expect. Co-payments, co-insurance, and deductibles (when applicable) are due at the time of service. 


How do I arrange an appointment?


Call our office for an appointment. Our office staff will get all the necessary information from you and assist you with scheduling an appointment. To expedite your admission, a copy of our patient intake form is here on the web site. Please download and print this document, filling it out prior to your first appointment. This will greatly minimize any delays in your Physical Therapy that might be related to incomplete or inaccurate insurance, personal, or billing information.

What should I bring with me?

For your first visit, you will need your insurance card (or workman’s compensation claim information or auto insurance), a driver’s license or valid ID, and any test results that you have (MRI, CT, X-ray, EMG, operative or other reports) that may help us understand your symptoms and help us develop your treatment plan. Please bring these with you, as not doing so may delay treatment.


What is my responsibility in physical therapy? 

Each patient is ultimately responsible for their success in their rehabilitation program. Your physical therapist cannot do it without you! We can provide you with the tools to recover or improve, but we ask that all patients come with a cooperative and eager spirit to follow through with their home exercise programs and instructions so that we can help you reach your goals. Your recovery is greatly dependent upon your compliance with your therapy and program. Please help us to help YOU. And before returning to your physician, let us know, and we will let him/her know how you are doing via a written progress report.

Can a family member be present during the physical therapy evaluation and treatment session to listen and to help ask questions?


Patients are welcome to bring a family member to their physical therapy sessions to assist with providing history information and to ask questions. It is the patient’s prerogative to include someone in their session for this purpose.
Mothers with small children are asked to determine if their care plan would be compromised or if it would be unsafe if children were in the room during treatment. Knowing the responsibilities and distractions of child care and office safety, we encourage women to secure child care for your appointments. We do not provide child care during your appointments, and for your child’s safety, children must be supervised.


Can physical therapy help me with bowel or bladder problems?


Physical therapy can treat bowel and bladder issues effectively. For more information regarding the specific conditions we treat, including urinary incontinence, please refer to our SERVICES section.


How long has INTEGRATIVE Manual Therapy & Wellness been in business? 


INTEGRATIVE Manual Therapy & Wellness was established in May 2003 for women by women. We have grown from one physical therapist to seven full-time female physical therapists. Our business continues to grow because of positive outcomes and satisfied patients.


What happens if I need to cancel or change an appointment?


INTEGRATIVE's policy is that if you are unable to attend a scheduled appointment that you give us notice within 24-hours so that the appointment time can be made available to another patient. Patients who do not cancel appointments with a 24-hour notice are subject to our full appointment cancellation fee, which is the cash value of your appointment.  Appointments at INTEGRATIVE are often booked far in advance, and we maintain a waiting list, but we have reserved that time for you. Missed appointments may also become part of your medical record. Multiple missed visits may result in discharge from care, with a note to your physician. If you do not show up for a scheduled appointment, you will be charged the full appointment fee as well as risk losing future scheduled appointments. Our goals are to provide one-on-one care and see each patient improve in the least number of treatment sessions, and to that end, we reserve long appointments for our patients. These are appointments that many people wait on a waiting list for and we need at least 24 hours' notice in advance to make our services available to waiting patients. 


Where are you located?


Our practice is tucked in the inside suites at Palace Station Shops at 350 W 22nd Street, Suite #108, so there aren’t big outside signs. Look for the clock tower over Just Cupcakes, or the AAA office, Mermaid Winery, or G. Patton Salon, and you’ll know you’re in the right parking lot. Follow the sidewalk that passes in front of G. Patton and MODE5 to the right down to the glass door that opens to the inside suites. Phew! We know it's hard to find, but once you find us once you’re golden.

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