Perry Physical Therapy
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    • Strain & Counterstrain >
      • Fascial Musculoskeletal Strain & Counterstrain
      • Lymphatic Counterstrain
      • Viscera Counterstrain
      • Arterial Counterstrain
      • Cranial Counterstrain
      • Neuro Counterstrain
    • Visceral Manipulation
    • Joint Mobilizations
    • Myofascial Release
    • Muscle Energy Technique
    • Medical Fitness
    • Physical Therapy Modalities
  • Contact
  • Testimonials
  • COVID-19 Updates
  • Letter from the Owner
  • Home
  • About
    • Our Staff
    • Office Forms and Services Pricing
    • Related Links
  • Techniques
    • Strain & Counterstrain >
      • Fascial Musculoskeletal Strain & Counterstrain
      • Lymphatic Counterstrain
      • Viscera Counterstrain
      • Arterial Counterstrain
      • Cranial Counterstrain
      • Neuro Counterstrain
    • Visceral Manipulation
    • Joint Mobilizations
    • Myofascial Release
    • Muscle Energy Technique
    • Medical Fitness
    • Physical Therapy Modalities
  • Contact
  • Testimonials
  • COVID-19 Updates
  • Letter from the Owner
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YOUR CART

Office Forms and Services Pricing

Want to save time during your initial office visit?  Download, print, and fill out the forms for your specific needs below.
New Medicare Patients
Please print and fill out forms 1-6 below.
1. New Patient Form
File Size: 1011 kb
File Type: pdf
Download File

2. Office Policy
File Size: 88 kb
File Type: pdf
Download File

3. Notice of Privacy
File Size: 4482 kb
File Type: pdf
Download File

4. Notice of Exclusions
File Size: 75 kb
File Type: pdf
Download File

5. Optimal Instrument
File Size: 2315 kb
File Type: pdf
Download File

6. Oswerstry Questionnaire
File Size: 774 kb
File Type: pdf
Download File

New Private and Workers' Compensation Patients
Please print and fill out forms 1-3 below.
1. New Patient Form
File Size: 1011 kb
File Type: pdf
Download File

2. Financial Policy
File Size: 129 kb
File Type: pdf
Download File

3. Notice of Privacy
File Size: 4482 kb
File Type: pdf
Download File

New Cash Pay Massage and Bodywork Patients
​
Please print and fill out forms 1-3 below.
1. New Patient Form
File Size: 1011 kb
File Type: pdf
Download File

2. Cash Pay Billing Policy
File Size: 128 kb
File Type: pdf
Download File

3. Treatment Waiver
File Size: 72 kb
File Type: pdf
Download File

Cash Pay Services Offered and Pricing Breakdown
Physical Therapy Evaluation With Treatment (Cash Pay)
    - $180 for One Hour Session Including manual therapy, Exercise and modalities as needed
    - $90 to $135 for Follow-up Session
Personal Training & Exercise Instruction Only​
    - 
​$100 for One Session (45-60 Min.) or One Time
    Home Exercise Program


Electrical Stimulation and Modalities Only
    
- $ 30 Per Session (15-30 Min.)

Orthotic Fabrication: Heat Molded
    
- $100 For First Pair
    - $70 For Each Additional Pair

Bicycle Fitting
    
- 
$40 Per Person, Per Bike
​

Norm's Massage Services:
​Strain Counterstrain Sessions

    - $100 for ½ Hour Session (15-35 Minutes)
    
(Minor problem to one area or touch up session)

    - $150 for 45 Minute Session (40-49 Minutes)
    (Average Scheduled Session)

    - $200 for 1 Hour Session (50-60 Minutes) 
    
(First consultation and Treatment)

    - $300 for 1 ½ Hour Session (80-90 Minutes)
​
    - $400 for 2 Hour Session (120 Minutes)

    (Occasionally for extensive problems or for those
    
coming from out of town and unable to come for a follow
    up session)​
Norm comes to you!  Out of the Office Visit​
    
- $275 for House Session (Minimum Charge)

    - $400 for 1 ½ Hour Session
​
    - $500 for 2 Hour Session


 Please note: Anything over 30 minutes of travel will be charged extra for travel time and expenses.
44025 Jefferson St., Ste 104
La Quinta, CA 92253
Phone: (760) 345-5453
Fax: (760) 345-7063
Hours of Operation:
Mon - Friday 7:30am - 6:00pm
Closed weekends and major holidays
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