Verify Your Insurance!

Welcome to Health Shift Physical Therapy! Please fill out the information listed below so we can verify your Physical Therapy Benefits. A follow-up email confirming your Physical Therapy benefits will be sent to you to schedule an appointment online at a clinic nearest you. We look forward to serving you!

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Full Name*

Date of Birth*

Email*

Home Address*

Street Address Address Line 2 City State ZIP Code

Insurance Provider*

Group Number*

Member ID Number*

Preferred Location*

Comments

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North Maple Grove Chiropractic and PT

Caron Physical Therapy

Health Shift Physical Therapy - NLCC Clairemont