Patient Forms / Insurance

Patient Forms

At South Toledo Physical Therapy, we want to maximize your time with us. Prior to your first visit, please print and fill out the new patient forms below. Please bring these with you to your first visit along with your insurance information and photo ID.

Patient Intake form

Patient Registration Form


Insurance Info

We gladly accept the insurance plans listed below.  If your plan is not listed, please call us at 419-380-9316 as we are always adding new insurance plans.

Railroad Medicare
Bureau of Worker’s Compensation
Medical Mutual of Ohio
Anthem Blue Cross/Blue Shield
Federal Worker’s Compensation
and many more


As a courtesy to our patients, we will verify your health benefits prior to your arrival to determine if there will be a copay, deductible, or coinsurance for therapy services.
For those patients who do not have health insurance or those who have maxed out their benefits, we offer a private pay plan.  Please contact us at Toledo, OH center for more information on our fees for service and payment details.

Disclaimer: While this is an extensive list, health plans do change regularly without prior notification. We recommend that you verify with your health plan what physical therapy benefits you have available.


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