RESOURCES

BEFORE YOUR VISIT

Please bring your insurance card, ID card, comfortable clothes, medication list, and any test results that have been performed with your doctor or other health care practitioner. Please arrive 15-30 minutes prior to your evaluation in order to complete your intake paper work.  When you arrive, our office staff will review your benefits quoted from your insurance provider and collect any co-pay or coinsurance. During your first visit, your therapist will conduct an initial evaluation to assess your issue. Your initial evaluation may consist of discussing your medical history and current issues, objective testing and diagnostic testing followed by an initiation of a treatment plan, a home-exercise program and discussing your plan of care. A copy of your initial evaluation will be sent to your physician.  Please plan for one and a half hours for the initial evaluation. You can download the paperwork below and fill it out at home to expedite the intake process.

FORM LIBRARY

PATIENT PRESCRIPTIONS

To begin treatment our office will need a prescription from your physician. If you would like to schedule an initial evaluation please print this form and ask your physician to fill out the form. If you do not currently have a physician our office will be more than happy to recommend one for you.

CHIROPRACTIC INTAKE FORM

Download this form if you are coming into our office for chiropractic services.

PHYSICAL THERAPY INTAKE FORM

Download this form if you are coming into our office for vestibular or physical therapy treatment.

VESTIBULAR DISORDER QUESTIONNAIRE

Download this form if you are coming into the office for vestibular therapy.

BILLING

BILLING PROCEDURE:

At Balance Chicago, we accept all major insurance plans. As a courtesy, we will verify your insurance coverage and benefits. On your first visit, our Patient Liasion will go over your deductible, coinsurance and any co-payments you may have. Keep in mind that the benefits quoted to us by your insurance are an estimate and may differ based on insurance policies, so we encourage patients to be aware of all their physical therapy, chiropractic and acupuncture benefits. All visits will be sent to you insurance company in a timely manner, and you will then receive a detailed statement showing what the insurance has paid, and anything that may become patient responsibility. Please do not hesitate to contact our office at 773.525.5200 with any billing questions.

CARE CREDIT

Care Credit is a credit card for your health needs that lets you enjoy the benefits of living well today with special healthcare financing options so you can pay monthly. The Care Credit health care credit card helps make costly procedures and treatments more manageable with promotional financing options. Financing is subject to credit approval.

PHREESIA PORTAL

The leader in patient check-in, now offers online bill pay, a more secure and convenient way to pay your medical bills. Pay on the go without the hassle of writing and mailing a check. Credit and debit cards accepted, including HAS & FSA cards. The transaction is encrypted and processed on a secure server, and payments are instantly confirmed with an email receipt.