Patient Registration Forms //

Active Spine Physical Therapy welcomes you to our practice.  


Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with a photo ID, your insurance cards, and any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.


Frequently Asked Questions //

​​What should I expect at my first visit?

You will be seen by a licensed Physical Therapist who will listen to your concerns and then complete a comprehensive evaluation. Together, a treatment plan will be designed with your goals in mind.


What should I wear?

It is suggested that you wear something comfortable that allows you to move freely and allows the Therapist access to the area of your body you are seeking treatment.



Do I need a referral/perscription from a doctor to see a Physical Therapist?

All 50 states have passed legislation that allows direct patient access to a physical therapist without a physician referral. You may be seen by a licensed Physical therapist as long as it is medically necessary, which will be determined by the treating therapist.


Physical therapists are educated at the post-baccalaureate level receiving extensive education and clinical training in the examination, evaluation, diagnosis, prognosis, and intervention of patient/clients with functional limitations, impairments and disabilities.


Physical therapists are qualified to recognize when a patient presents with signs and symptoms inconsistent or outside the scope and expertise of the physical therapist and when the patient should be referred to a physician. To read more about direct access click here.



Will my treatment be covered if I come by direct access?

Some insurance agencies may still require a prescription for physical therapy from your doctor. All Medicare patients do NOT require a prescription. You will be covered by your healthcare physical therapy benefits as long as it is approved by your insurance and you have not exhausted your annual allowance. We always recommend that you call the number on the back of your insurance card to find out what your physical therapy benefits allow.



I have additional questions regarding my first appointment and condition, whom should I contact?
Please feel free to call or email with any additional questions.

Patient Payments

Health plans //

One of the best things about Active Spine Physical Therapy is that we work with almost all major insurance carriers (inlcuding Medicare and Medicaid) and we participate in many local provider networks.


Our front office staff will work diligently with your physical therapist and insurance company to accommodate your individual needs. 

© 2019 Active Spine Physical Therapy, LLC

11810 Nicholas Street, Suite 103

Omaha, NE 68154

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To Schedule An Appointment

Call 402.932.2888