Out-of-Town Physical Therapy Patients
Out-of-Town New Patient Packet
Out-of-Town New Patient Packet
additional treatment information on our new website
www.drhesch.com
If you are coming from out-of-town and are planning on being treated at the Hesch Institute, please complete our Out-of-Town New Patient Packet and forward it as soon as possible before scheduling your first visit.
Click here to download the New Patient Forms Packet (including privacy & financial forms). 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.
Please remember to write a narrative outlining a description of your symptoms and past treatment.
If you have MRI's, CT Scan, X-Ray's please provide those as well for your best treatment options. A list of individual forms is at the bottom of this page.
Click here to download a patient brochure.
Click here to download the New Patient Forms Packet (including privacy & financial forms). 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.
Please remember to write a narrative outlining a description of your symptoms and past treatment.
If you have MRI's, CT Scan, X-Ray's please provide those as well for your best treatment options. A list of individual forms is at the bottom of this page.
Click here to download a patient brochure.