For Patients


The following forms are available for your convenience.  If you would like, these can be printed out and completed before your first appointment.

Patient Registration
Patient Registration word.doc
Microsoft Word document [30.0 KB]
Informed Consent Form
Informed Consent Doc.doc
Microsoft Word document [25.0 KB]
Acknowledgement of Notice of Privacy
Acknowledgement of Notice of Privacy Pra[...]
Microsoft Word document [26.0 KB]
Microsoft Word document [53.0 KB]
Telehealth Informed Consent
Telehealth Informed Consent-2020.docx
Microsoft Word document [172.4 KB]

Billing Policy

  • Terry Frye MS PT is a preferred provider for most insurance companies.  It is the patient's responsibility to check with your insurance company on your physical therapy benefits and your deductible and copay.
  • Preferred Provider for Premera, Anthem, FEP, Asuris, Aetna, First Choice, Cigna and Options Kaiser and Medicare. She will bill out of network for United Health Care. She does not bill secondary insurance at this time.
  • The patient is responsible for all co-pays, co-insurance and deductibles to Terry Frye Physical Therapy at the time of service.
  • TFPT accepts cash and checks.  Sorry no credit cards
  • Please make checks payable to Terry Frye Physical Therapy or TFC.
  • Payment is due at time of service.
  • A $25 charge will be applied to your account for broken appointments unless 24 hours notice is given.  Please note that patient's insurance company will not cover this charge.
  • Two consecutive missed or 'no-show' appointments without cause will result in future patient appointments being removed from the schedule.