Forms & Insurance Champion Physical Therapy
Since 2008, Champion Physical Therapy has provided professional, friendly physical therapy services in Wickenburg, AZ. Our team of physical therapists serves clients of all ages. Our goal is to not only reduce your pain, but restore your physical health. We are here to help you feel better!
As a locally owned and operated clinic, we are committed to personalized care and services. Each of our therapists provides clients with the resources they need to make a successful, timely recovery. The forms below are designed to help our team ensure you receive the best physical therapy possible.
Champion Physical Therapy is contracted with most insurance companies. Please contact our office to confirm if we are contracted with your individual insurance plan.
Arizona is a direct access state which allows patients to be seen by a licensed physical therapist without a physician referral. However, certain insurance companies or plans require a physician referral for payment. Please check with your individual insurance company if you aren’t sure.
Thanks for all your hard work and patience with us!
Janell Flamand PT, DPT, Cert. DN
Champion Physical Therapy
P: 928-668-0108
F: 928-668-0110
As a locally owned and operated clinic, we are committed to personalized care and services. Each of our therapists provides clients with the resources they need to make a successful, timely recovery. The forms below are designed to help our team ensure you receive the best physical therapy possible.
Champion Physical Therapy is contracted with most insurance companies. Please contact our office to confirm if we are contracted with your individual insurance plan.
Arizona is a direct access state which allows patients to be seen by a licensed physical therapist without a physician referral. However, certain insurance companies or plans require a physician referral for payment. Please check with your individual insurance company if you aren’t sure.
Thanks for all your hard work and patience with us!
Janell Flamand PT, DPT, Cert. DN
Champion Physical Therapy
P: 928-668-0108
F: 928-668-0110
New Patient Forms
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Functional Questionnaires
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