Forms & Insurance
Our staff is friendly and always ready to help with scheduling, insurance questions or anything else you may need to know. For your convenience, please see the following information:
New Patient Forms:
To help expedite your appointment with us, we have provided the following forms for you to print and fill out prior to your first visit:
- Patient Intake Form (Interactive)
- Neck Pain Questionnaire (Interactive)
- Oswestry Questionnaire (Interactive)
- LEFS Index (Interactive)
- Shoulder Pain and Disability Index (Interactive)
- Doctor's Referral
For your additional convenience, fill out the Interactive forms in your browser by simply clicking on the lines or clicking the check boxes. Once your form is complete, download the file to save it, then email your forms to us at email@example.com.
Please do not hesitate to contact us to see if your treatment is covered by your insurance.
- Accept & file most insurance
- Short waits
- Flexible scheduling
- Same-day appointments
- Ample free parking
- Bus route just 2 blocks from the practice
- Spacious, well-equipped gym
- Private treatment rooms
- Comfortable lounge for patients' families
To schedule an appointment with Boulet Physical Therapy & Wellness Institute, please call or text (337) 264-9856 or complete our online appointment request form by clicking here: Request an Appointment. If at any time you are unable to make your appointment, please notify us at least 24 to 48 business hours in advance. We will be glad to reschedule your appointment at a more convenient time if necessary. We greatly appreciate your time and consideration and look forward to seeing you.