REGISTRATION

New Patient Registration

Please print, fill out, and bring these forms with you on your initial visit. You will also need your insurance card(s) and a form of ID. This information will aid us in filing your insurance claims. 

View Forms

Insurance & Billing

We are preferred providers for most group health insurance plans. We are happy to check your eligibility and benefits after obtaining your name, group number, insured’s identification number, date of birth, and insurance phone number. However, it is your responsibility to confirm eligibility with your insurance plan. 


We provide insurance billing services for our patients. Any balance due after the patient’s insurance has paid, such as coinsurance and/or deductible amounts, is billed to the patient on a monthly basis. Co-payments are collected at the time of each visit.  

We accept both Medicare and Medicaid. We will file accordingly. 

We will first bill the patient’s motor vehicle accident insurance company when they have been involved in a motor vehicle accident (MVA). If med-pay is available, we will draw payment from that source. If med-pay is not available or has been exhausted, we will file a claim with the health insurance carrier. Any reimbursement funds from the responsible party will be transferred to the patient’s health insurance company. 


If no health insurance benefits are available, the patient will be responsible for making payments for therapy services. Wolken Therapy & Wellness, requires self-pay to insure payment for services. The patient will receive receipts for their payments, which can be used towards reimbursement when the settlement is finalized.  

Injured workers have 100% coverage for accepted claims through their employer’s worker’s compensation insurance. It is the patient’s responsibility to obtain prior authorization for therapy through his or her employer. We will be happy to work with you, your doctor, and employer during this process.  

For patients without insurance and wellness clients, we have several payment options available.  


We accept payments of cash, check, MasterCard, Visa, Discover, and American Express.  

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