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Forms / Insurance Information |
Forms |
Please print off forms and fill out for your first appointment. You can also fill it out on your computer and email it to us at ptot@rushmore.com |
- PATIENT INFORMATION FORM |
| - PAST MEDICAL HISTORY FORM |
Insurance |
We will file insurance directly with your carrier. We are preferred providers with Medicare, Blue Cross/Blue Shield, Dakota Care, Aetna, Tri-Care, IHS, United Health Care, Sanford Health, First Administrators, and most major insurance carriers in South Dakota. |
The "Right Choice" for Occupational and Physical Therapy in Rapid City. |
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Phone: (605)716-6474
Fax: (605)716-6484 Email:ptot@rushmore.com |