RPT Clinic

Intake Form

Intake Form

  • As of October 1, 2023;  rates are $150 per treatment hour.  A treatment hour varies from 50-60 minutes based on assessment time needed and timeliness of arrival.
  • The initial session is 1.5 treatment hours ($225) and includes a full assessment as well as a full treatment.  Any subsequent  treatment session is 1 treatment hour ($150). 
  • Accepted payment forms include cash, credit, check, FSA & HSA.  
  • Cancellation Policy: If you miss your appointment without contacting our office within 24 hours prior to your appointment, you will be charged the full appointment amount. Additionally, if you are late for a scheduled appointment, the full appointment amount will be charged. If you are unable to keep your appointment or need to reschedule, kindly call us at 855-629-2805 so we may release your appointment to our wait list.

NOTE: Completing the Intake Form does not schedule an appointment. To schedule an appointment, please call 855-629-2805 or email info@RPTclinic.com and we would be happy to help.

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