PREPARE FOR YOUR FIRST VISIT

Your appointment checklist.

106 Boardman Dr., Gallup, NM 87301
Telephone: (505) 722-9188 · Fax: (505) 926-0910

This preparation guide is not a clinical intake or consent form. Ask our office for current official forms.

Before your appointment

• Call the office to confirm your appointment and arrival time.
• Ask about insurance participation, authorization, and copays.
• Confirm whether your visit needs a PT prescription or referral.
• Ask which intake and consent forms you need.

Bring with you

• Photo identification
• Insurance card and any relevant authorization information
• PT prescription or referral, if applicable
• Medication list and relevant medical records
• Comfortable clothing that allows movement

Questions to discuss

• What activities would I like to return to?
• How many visits are authorized, and how many remain?
• When does my prescription or certification expire?
• What are my expected costs and approved payment options?

Keep personal medical information private. This page does not collect or submit any information.