Please download the correct forms below.

Registration Forms for Adults (18 years and up)
Registration Forms for Minors (15 - 18 years old)
Registration Forms for Children (0 - 14 years old)



Please Note: You will need Adobe Acrobat Reader to view and print the forms.



Frequently asked Questions?

 

*What can I expect in my first visit?

Evaluation and treatment occur with your very first visit.  An in depth history as well as a structural evaluation will be performed.  Experience has proven that a thorough history taking combined with our evaluation tools, serves to expedite your course of treatment. 

 

*What should I wear?

Comfortable clothing. Generally, treatment is rendered directly through your clothing. Should we need to do soft or deep tissue work, cloth gowns and shorts are available.

 

*Will my child be at ease?

Our children love coming for care.  Children choose from a wide array of videos to watch during their care.  Because our work is extremely light and gentle, children are rarely aware that they are even being treated.  Our children range in age from newborns to high school.

 

*How long is my appointment?

Typically, our appointments are approximately one hour in length.  Documentation of your progress or complaints is obtained before the session begins with recording of the treatment rendered, requires a few minutes at the end.  During your session you will receive direct, gentle, hands-on care.

 

*Will insurance cover these services?

Because we are licensed physical therapists, insurance companies recognize services and treatments rendered by us.  Customarily, we recommend to patients to acquire a phyisicians script for a 'Physical Therapy Evaluation and Treatment' as additional evidence to insurance companies that the services provided are recoginized by the doctor as necessary to your care and well being.

Sometimes, Polaroid/digital pictures or videotapes of you or your child may be taken to serve as valuable and dramatic visual tools to demonstrate before and after results to the insurance company to further support "medical necessity" issues that are sometimes raised by insurance companies.




















 
Power in Motion Rehabilitation Inc.
1831 O'Plaine Road
Libertyville, IL 60048
Phone (847) 680-5045
Fax (847) 680-5046
cindy@power-in-motion.com


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