To save time during your office visit please download, print, complete, sign and bring with you the patient forms below:
- Kimbia Physio, LLC-Medical History Questionnaire
- Kimbia Physio, LLC PERFORMANCE COACHING-TRAINING WAIVER (Performance Sport Systems participants must complete)
Insurance Information (Out of Network). While I do not bill your insurance company directly;
- You may claim Kimbia Physio as an Out of Network Provider. Most insurance companies will provide these forms online. Please contact your insurance company to inquire about specific benefits.
- Treatment charges may be applied to your deductible.
- Reimbursements from your insurance company go directly to you in the form of a check in your name.
- Payment for services are due at the end of each session. KimbiaPhysio LLC will provide you with a detailed invoice for your records and to submit to your insurance company.