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HIPAA (Health Insurance Portability and Accountability Act):

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. 


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Notice of Privacy Practices:

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. 


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Insurance and Billing Policy Information:

As a one-time courtesy, our billing office will provide you with an insurance information sheet within your first two visits. 


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Click on image to open form.

Cancellation and No Show Policy:

We believe your regular attendance and participation is important in returning you to your previous level of function and/or your return to work. Should you need to change your appointment, Deer Park Physical Therapy asks you to reschedule by 5 p.m. the day prior to your treatment. Please give us a call if you are unable to attend; your call will enable us to manage our scheduling, more efficiently. If an emergency does occur and you need to cancel your appointment after hours, please leave a message on our answering system.


New Patient Information:

Please fill this form out, and bring it with you on your first visit to speed up the check in process.  


Returning Patient Information:

Please fill this form out, and bring it with you on a return visit to speed up the check in process.