Insurance and Forms

"No one wants to go to physical therapy, but if you have to, CityPT is definitely the place!"

—Marcy Shuck, New York, NY
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Accepted Insurance

We accept most health insurance. Here is a list of the companies we currently accept. Please contact our office for the most up-to-date information on insurance acceptance.

Insurance Accepted
AARP Medicare Complete
Aetna (All Products)
BCBS (All Products)
Cigna (All Products)
Secure Horizons
United Healthcare
Worker's Compensation

We accept most Japanese International/Travelers Insurance including:
AIU Japan OTI NY-Medical Providers
JI International Insurance
Mitsui Sumitomo
Tokio Marine
Tokyo Kaijo


Below are the three forms needed for your first visit: Consent Form, Data Sheet and Past Medical History Form. Please print and fill out prior to your first visit to save time.

*Please note that the "Estimate Insurance Benefits" and "Estimated Patient Payment" section of the consent form will be filled out by CityPT staff on the day of your first visit, after which you can sign-off on that section.

*Your insurance may require additional paperwork that will be given to you on the day of your first visit.

Consent Form
Data Sheet
Medical History Form

Consent Form (日本語)
Data Sheet (日本語)
Medical History Form (日本語)

Consent Form (中文)
Data Sheet (中文)
Medical History Form (中文)

Ready to make an appointment?

"... Loved every session, thank you City PT."

—Valerie T., NEW YORK, NY
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