Patient Info

220 West Huron Street, Suite 2004, Chicago, Illinois 60654, United States

Patient Info

Please email front/back of your insurance card to info@dynamic-pt.com
Wear loose, comfortable clothing (tank tops for upper body 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.

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. It is the patient's responsibility to verify insurance benefits and network status prior to services being rendered.
We also recommend that you periodically check your benefits throughout your plan of care to stay up-to-date on any visit limits your insurance plan may apply to physical therapy services.
Keep in mind that many policies combine physical/occupationl/speech therapy and chiropractic care in their visit limits, so if you are seeing one of these providers you may want to disclose that information to your physical therapist.

The self-pay rate is $150 based on market standards and cannot be negotiated. This includes one hour, one-on-one sessions with an experienced physical therapist. As a courtesy, we will provide you with a receipt so you may submit to your out-of-network insurance for possible reimbursement.
We also offer an individual rate for Dry Needling only, please contact us at 312-643-1555 or info@dynamic-pt.com to learn more.

Billing statements go out each month for patients utilizing insurance that display your financial responsibility. Billing is done at the end of each month.
Self-Pay, estimated deductible payments and co-pay are due at the time of service. We accept Zelle, Venmo, credit cards, HSA, FSA, cash and checks. We also require a credit card to be kept on file. This will be kept in a secure/encrypted data base.
Please be aware that a $10 Late Payment Fee will be enforced if payment is not submitted within 60 days of receiving your billing statement. An additional $10 fee will be accrued each month that passes without payment. Outstanding balances of 90 days and greater are turned over to collections. This is our standard office policy for all delinquent accounts. If ever there is a question about a bill, please contact us as soon as possible.
If you would like to set up a payment plan, please contact info@dynamic-pt.com and we will happily negotiate the terms of the payment plan on a case-by-case basis.

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 at 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.

FORMS