Institute for sacroiliac treatment, research, and education
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​ Out of Town Patient Paperwork
   Physical Therapy New Patient Packet
COVID PROTOCOL 1
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NOTICE OF PRIVACY PRACTICES

Review page 1 and 2 of the patient paperwork packet, for information regarding cost and logistics



If you are planning on being treated at the Hesch Institute, please complete our New Patient Packet and forward it.

Please carefully read the instructions for the patient narrative and answer each item. Put your name on the narrative and add page numbers.
 

We accept all major Credit Cards, Check, and HSA/FSA Cards. We don't bill medical insurance companies, but will provide you with a detail invoice, so you can file a claim with your insurance provider.   
  
                           ​                                                             
      Below is a recommended hotel/AirBnB  
 If you have questions or need help with the link, please do not hesitate to ask. We appreciate your business and look forward to working with you in the future.
Airbnb; https://abnb.me/gtqDiMxsfvb  (10 mins south of Hesch Institute)
Fairfield Inn & Suites Denver Aurora/Parker (in an open mall), with plenty of shops and restaurants.
Click for best rates; Hesch Institute 
Springhill Suites by Marriott - Parker, Co. (20 mins south of Hesch Institute)
Click for link;  www.marriott.com/hotels/travel/denpk-springhill-suites-denver-parker

                                  Denver International Airport is 20 mins north of Hesch Institute.
                     If you wish to be closer to airport do online search. There are many hotels close to airport.



                                                    Patient Paperwork Packet

Below either choose: Option 1- to print New Patient Forms
                                                  for either email, fax, or use US Mail.
                                   Option 2- to digitally fill in New Patient Forms

Option 1 -  Click here to download and print the New Patient "Out of Town" Forms Packet (including privacy, fees & financial forms) to either fax or email, or US Mail.
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Option 2  - Click this button below to fill out paperwork digitally to send to us. Carefully read the instructions. When filling out the patient narrative, you MUST hit a hard return at the end of each line or the information will be lost. 
Digital/Online Patient History Form-Out of Town