Ultimate Therapy

your source for healing

If this is your first time registering with Ultimate Therapy please complete Evaluation intake forms, Assignment of benefits, Patient registration, Company Policies and Notice of privacy practice forms listed below.

 
Evaluation Intake Forms
Assignment of Benefits
Patient Registration
Notice of Privacy Practices
Company Policies
If you are being treated for pelvic pain, incontinence or any other Women’s Health issues, please fill out the Women’s Health Intake form as well as the Consent to treat forms located below.
Womens Health Intake Form
Womens Health Consent to Treat Form
Ultimate Therapy participates with most major insurances including but not limited to:

MVA and Workmans Compenstation
Blue Cross Blue Shield/ CareFirst 
CareFirst Blue Choice 
United Health Care
UHC
MDIPA
MAMSI/Opt. Choice
MAPSI
ACN/Optum
AARP
One Net PPO
CoreSource PPO
Cigna
Priority Partners - John Hopkins
MultiPlan
DMHM - Breast Cancer Program
TriCare- all products
Medicare
Multiplan

It's best to check with your insurance company regarding PT benefits.
Please feel free to call our office if your insurance plan is not listed. 

Ultimate Therapy   •  Blair Building, Suite 202  •  40900 Merchant Lane  •  Leonardtown, MD   20650 301.997.1155

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