FIRST TIME PATIENTS ~ YOUR FIRST VISIT

Welcome to Movement Systems Physical Therapy, P.S. We are located at 3221 Eastlake Avenue East, Suite 110 in Seattle, Washington. Click on this link for directions to our facility: Directions

Click here for the map locator.

Our office staff:

Front Desk Coordinator: Juliann Kirkpatrick

Billing and Collections Coordinator : Rebecca O'Connor

Business Manager: Andria Bensuaski

First time patients can contact our Front Desk Coordinator,

Juliann Kirkpatrick , at 206-405-1864 (ext. 0) to schedule appointments.

What to expect:

Plan to spend up to 90 minutes at your first visit. Your evaluation will take 55 minutes and any miscellaneous time spent with administrative issues can take up to 30 minutes (i.e., completion of forms, scheduling, payment, etc.). All subsequent visits will last for 55 minutes. Plan to arrive 15 minutes early to your first appointment to ensure accurate completion of registration forms. 

Fragrance sensitive envronment:

The rising  incidence of asthma, migraines, and upper respiratory conditions combined with the increased use of powerful long lasting fragranced products has led us to adopt a fragrance sensitive environment . We ask that you refrain from applying spray colognes and scented lotions prior to your physical therapy appointment as the use of such products may trigger allergic reactions and create health problems for other patients and your therapist. Our chemically-sensitive co-workers and clients thank you for not wearing scented products.

Bringing children with you:

Due to the private nature and length of time of the services we provide as well as the intrinsically hazardous environment of some areas of Movement Systems Physical Therapy (MSPT), we do not condone children accompanying patients to treatment.  However, MSPT is committed to promoting a culture which is supportive of the needs patients with family responsibilities. Patients bringing children to physical therapy sessions are requested to adhere to the following policy guidelines:  Policy for children accompanying patients.

Insurance coverage and payable services:

In the state of Washington, patients have direct access to physical therapy services without the need for prescription or referral from a physician or nonphysician practitioner (NPP). However, physical therapy services shall be payable by most insurance companies only with a current prescription, referral, or pre-authorization from a physician or NPP. Be aware that most prescriptions, and all referrals and pre-authorizations have an expiration date and/or visit limit that is separate from your plan's dollar amount or visit limit. Prescriptions are current for 90 days unless otherwise specified.

To determine your coverage and providership stipulations, you must contact your medical insurance company. Coverage and providership stipulations depend upon your medical insurance company and the specific plan you have chosen.  Reading the terms of our contract may feel like you are reading a foreign language text if you are not familiar with the terminology.  MSPT has provided a webpage to assist you in understanding reimbursement terms (please click on MSPT to direct you to this link). 

To assist you in obtaining accurate and pertinent information from your insurance company, we have prepared an insurance benefits worksheet. Please print out and complete this worksheet prior to your first visit.

Insurance Benefit Worksheet (requires Adobe Reader).

NOTE: You are responsible for obtaining coverage information from your insurance company PRIOR to your first visit. 

New Patient Paperwork:

Prior to your first visit, we ask that you download the New Patient Registration Packet and bring the completed forms with you to your first appointment (requires Adobe Reader - see above).

• New Patient Registration Packet
• Notice of Privacy Policy (NOTE: you are not required to print this policy. Please only print the Privacy policy signature page and bring the signature page with you to your first visit.)
• Privacy Policy Signature Page

Or select a specific form below

• Patient Registration Form
• Insurance Benefit Worksheet
• Critical Billing and Payment Information
• Billing and Payment Policy
• Cancellation Policy
• Initial Evaluation Intake Form
• Functional Status Questionnaire
• Notice of Privacy Policy
• Privacy Policy Signature Page
• Directions
• Dizziness inventory

Please be sure to bring the following items with you to your first appointment:

• The completed forms listed above.
• Comfortable clothing as noted below:
• For low back pain or lower extremity problems, please bring shorts and a t-shirt.
• For females with back, neck, and/or upper extremity problems, please bring shorts and a halter-top, bathing suit top, or one-piece backless bathing suit. Note that a sport back jog bra obscures viewing of the shoulder blades and is not recommended.
• Your referring provider's updated, written prescription, referral, or pre-authorization.
• Your current insurance card.
• A method of payment (i.e., checkbook, credit card, etc.).

Thank you for assisting us in making your first visit to Movement Systems Physical Therapy, P.S. a positive experience. If you have any questions, don't hesitate to contact our Front Desk Coordinator - Juliann Kirkpatrick at 206-405-1864, Billing and Collections Coordinator - Rebecca O'Connor at 206-405-1864 ext. 102, or Business Manager - Andria Bensuaski at 206-405-1864 ext. 102.