PAtient forms

You may complete the patient info and medical history forms before your appointment and either fax it into our office at
(858) 454-2962 or bring the completed forms to your initial evaluation appointment.
Please arrive 5 minutes before your scheduled time.

Patient Info/ Medical History Forms


Insurance

La Jolla Shores Physical Therapy is "out of network" with all insurance companies. As a courtesy, we can bill your medical insurance for PT services rendered. All charges are collected at time of service. The patient will be reimbursed once the insurance payment has been received.

Please bring your insurance card to your appointment.


Rates

Physical Therapy
Initial Evaluation     $ 145
Physical Therapy $ 110
Custom Orthotics   $ 185

Pilates
Individual Session  $ 90
Semi-Private Session  $ 125
Package of 8 Individual Sessions  $ 640
*Pilates must be paid at time of service. Cancelations must be 24 hours ahead to not incur the session charge.

Massage
50 Minute Massage  $ 100
80 Minute Massage  $ 155
*Massage services must be paid at time of service. Cancelations must be 24 hours ahead to not incur the session charge.
 

We accept all major credit cards, checks and/or cash. 

*Depending on the patient's needs, our therapist can travel to your home for therapy. Please ask for details.