What to expect at your first Appointment
- Wear comfortable, non-restrictive clothing to your appointment. You will be up and moving regardless of your injury level!
- Please bring a valid photo ID and insurance card (if applicable)
- All payment for services (insurance co-pay, or self-pay) must be made in advance. Be sure to bring your payment with you.
- Download the intake paperwork below and complete the necessary forms before your visit. Please plan to arrive 15 minutes prior to your appointment to allow time to process paperwork and begin your initial evaluation survey.
Part of our mission in providing access to long-term rehabilitation and exercise for clients involves a strategic collaboration with the Krannert School of Physical Therapy at the University of Indianapolis. We track your progress at NeuroHope every 90 days. If you elect to participate in these progress-tracking reports, there will be a brief iPad survey when you arrive for your initial evaluation.
Patient Rights and Pricing:
Please download and review your rights and responsibilities as a NeuroHope client:
- Rights / Responsibilities Form
- Privacy Practices Form
- Self-pay rates / Membership pricing *For clients not billing insurance
Please print, complete, and bring to your evaluation:
2) Medical History Form – You may bring a copy of your medication list with you to your appointment
3) Medical Clearance Form – Only complete the top section. We will submit to your physician
5) Participation Waiver – We will submit a clearance form to your physician to determine if Neuromusular Electrical Stimulation (NMES) may be appropriate. Learn more about our unique services, included NMES here.
Review “Privacy Practices” Form Above
Don’t worry! We always ask for permission if photos are involved.
For further questions please call our office at 317-525-8386 or email Natalie at [email protected].
We look forward to seeing you!