New Patient Information

Reception Desk - Balanced PT Vancouver, WA

Accepted Insurance Providers:

The following are some of the insurances we accept or for which we are preferred providers for Physical Therapy treatment:

  • Aetna
  • CCN
  • Cigna
  • Columbia United Providers
  • Cup Healthy Options
  • First Choice Health Network
  • Great West
  • Health Net
  • Managed Healthcare Northewest
  • Medicare/RR Medicare
  • Motor Vehicle Insurances
  • Moda Health (ODS)
  • PacifiCare
  • Premera Blue Cross
  • Providence
  • Regence Blue Cross Blue Shield
  • SAIF
  • Secure Horizons
  • TriCare
  • Uniform Medical Plan
  • United Healthcare
  • Worker’s Comp Claims/L&I

We do accept some insurance for Massage Therapy, please refer to the Insurance Information Sheet for more details on the insurance companies we accept.

*NOTE: This is a partial list of major insurances we accept or for which we are preferred providers. This list changes as we add insurances. Please do not hesitate to call to see if we accept your insurance provider.   We also offer a cash discount for our cash pay patients.

Patient Forms:

Save time at your first appointment, your form can be filled out online and emailed back. The PDFs below works best with internet explorer or Microsoft edge web browser, if you don’t have Internet explorer or Microsoft Edge the instruction to properly save are below. Note that just pressing save and download will not save the forms.

  1. After filling out the PDF click the print logo in upper right corner
  2. Save as PDF in the destination
  3. Email us the forms

Feel free to call the office if you need help with the forms or saving the PDF to your computer.

(Click on the form text to access)

General Health Questionnaire



Male pelvic floor Taos





Notice of Privacy Practices

Covid-19 screen

If you need a doctor’s referral for physical therapy for your insurance you may ask your provider for a referral to wherever you would like to go. If you choose to come to Balanced Physical Therapy, we can accept a written order on any form or you may print this prescription form to bring to your doctor to sign.

Call 360-573-3611 if you have questions about
treatment or to schedule an appointment.

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