We accept all insurance plans, workers compensation, VA, Tricare, Medicare and Medicaid
In network partners: Cigna
If your insurance provider is not in-network, we are able apply for PPO waivers or benefit exemptions to allow you to see our team! Call us to find out more or start this process!
- Click ‘download paperwork’ button
- Locate the file that saved (called ‘Revolution Tele Rehab Paperwork.zip’)
- Unzip the files (right-click and select ‘extract all’ on PC or double-click on Mac)
- Complete each PDF form by opening it, filling in the form digitally, and signing, and SAVE your changes to the file!
* If you do not have a digital signature you will be asked to create one when ‘signing’ the documents – select ‘create a new digital id’ and then ‘save to file’. You will need to create a password to save your signature. You will then need to use that password whenever you use the signature on the forms. You will only need to create the signature once.
- Complete and submit the form below, uploading each of your saved PDFs where identified.
– Casey O.