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During your first visit to Mid-South Physical Therapy and Fitness Center our staff will be working with you on some details that are required for your patient records. For instance, we will ask you to fill out a form that gives the doctor necessary information about your age, occupation, any history of family illnesses, etc. Please be assured that any information we ask for is kept confidential.
Pre-Register And Save Time!
At Mid-South Physical Therapy and Fitness Center, we encourage all patients to pre-register. Please be assured that we take the protection of your confidential health information very seriously. By completing the forms found below, your information can be prepared before you arrive for your appointment, thus expediting your check in process. Simply click on any of the forms below to print out and bring with you. Note: You will need Adobe Reader to view the following documentation. Don’t worry it’s free and safe to use.
Patient Information Sheet
Patient Information (Minor)
Payment Policy Acknowledgement
Privacy - Information Release Form
We look forward to seeing you!
“I have been attending Mid-South for one year this month (combined PT and fitness center). While receiving care here I have had the greatest confidence that all the care received has been the best care possible. All the employees’ are more friends than care givers.” - Mike Patrick
“I would like to tell you what I think of Mid-South PT. The staff is wonderful and truly good people and all are very caring. Teresa is my favorite because she takes care of me the most but all of the people who work here are great. I would recommend this business to anyone who needs therapy anytime”. - Alice Stumbo
“I think you are all very friendly people and have referred several people to your clinic. I like the machines for working out, they are very good and the people who work there are good with helping you.” - Marlene Brown
“The staff individualized my program throughout therapy. They always listened to my concerns and knew exactly how to address them. I was so pleased with the atmosphere at MSPT, and how I progressed under their guidance, that after my therapy I joined the fitness center.” - Leanne Stewart
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Blue Cross Blue Shield (most networks)
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CIGNA
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Coventry
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Humana Military (TriCare)
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Humana
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Medicare
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United HealthCare
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Worker’s Compensation Cases
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Don’t see your insurance company listed? That’s ok. We work with many more. Please click below on our insurance policy to get more information about our insurance program.
Insurance Policy & Program
“In case of inclement weather and for the safety of our patients, we encourage all our patients and fitness members to call 837-1711, or to check our Facebook page before traveling to the facility. We update our Facebook page real time so please click here to view the latest information. If you are unable to speak with a “live” person, you may assume that the clinic is closed. If the facility is open, we will be unable to advise you concerning road conditions or travel to the clinic. The decision is solely at your discretion.
If the facility is closed or you are unable to make your appointment due to inclement weather, you may return at your next scheduled appointment or call to verify scheduling at your convenience. “