Patient Forms

Please complete the Intake Form and Medical History forms before your appointment and either fax them to our office at (858) 454-2962 or bring the completed forms to your initial evaluation appointment.

Please arrive 5 minutes before your scheduled time.

Intake Form | Medical History Form

Insurance

La Jolla Shores Physical Therapy no longer bills insurance for services. All charges are collected at the time of service. We are not a Medicare provider, and secondary insurance (to Medicare) will not pay for services.

Rates

Physical Therapy
Initial Evaluation     $ 200 (initial visit)
Physical Therapy $ 150 (standard visit)
Custom Orthotics   $ 235 (eval or visit not included)

Home Visit $250

Pilates
Individual Session  $ 100
Semi-Private Session  $ 165
Package of 8 Individual Sessions  $ 720 ($90 per session)

Home Visit $135
*Pilates must be paid at the time of service. Cancelations must be made 24 hours prior to avoid the full session charge.

Massage
50 Minute Massage  $ 150
80 Minute Massage  $ 200

Home Travel Fee $ 35

*Massage services must be paid at the time of service. Cancelations must be made 24 hours prior to avoid the full session charge.

We accept all major credit cards, checks, and/or cash. *We do not accept tips for massage as we are a medical establishment.