409 W Huron St Fl 3, Chicago, IL 60654
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(312) 778-6455 | info@dynamic-pt.com
Dynamic Physical Therapy Chicago

Dynamic Physical Therapy Chicago River North

Patient Info

Your first visit

  1. Please fill out the prior to your first visit

  • Please email front/back of your insurance card and email to info@dynamic-pt.com
  • Wear loose, comfortable clothing (tank tops for shoulders and shorts for lower body)
  • Please arrive 10 minutes early to fill out additional paperwork
  • Forms are located on the bottom of the page if you choose to fill out prior to your appointment.

Insurance

  • We are In-Network with BCBS and as a courtesy we will look up your specific plan and let you know what your physical therapy benefits are.
  • We are Out-of-Network with Aetna, United Healthcare, Humana, Cigna and Medicare. As a courtesy, we will provide you with a receipt so you may submit to your out-of-network insurance for possible reimbursement.

Self-Pay

  • The self-pay rate is $140, which is based on Medicare rates and cannot be negotiated.


Billing Statements and Payment

  • Billing statements go out each month for patients utilizing insurance that is your financial responsibility.
  • Self-Pay, estimated deductible payment and co-pay are due at the time of service.  We accept Zelle, Venmo, credit cards, HSA, cash and checks. We also require a credit card to be kept on file.

Appointment Cancellation Policy

  • Your appointment time has been reserved just for you. Keeping all your appointments is an integral part of your recovery. If you do need to cancel an appointment, please be aware of our requirement of a least 24-hour notice. Failure to cancel your appointment with more than 24-hour notice will result in a $50.00 fee. Insurance will not pay for this fee, so you will be required to pay it at your next visit.