top of page

FORMS

Medical form with stethoscope

NEW PATIENT FORMS

​

If you are a new patient, please read through and complete the following forms and bring them with you to your first visit.

​

​

​

​

​

​

​

INJURY SPECIFIC INTAKE FORMS

​

Also, please read carefully and complete one of the following intake forms relating to your area of injury or diagnosis and bring them with you to your first visit.

ACCEPTED FORMS OF PAYMENT

We offer cash pay services at competitive prices, please contact us for additional information.

​

We are also in-network preferred providers for almost all PPO/EPO insurance plans in California, including:

  • Aetna

  • Blue Cross

  • Blue Shield

  • Cigna

  • Great-West

  • Healthnet

  • Medicare

  • UMR

  • United Healthcare

  • Military & Veterans (Tricare)

And many more - contact us if you have any questions

​

WORKERS' COMPENSATION, MEDICARE, AND OUT-OF-NETWORK BENEFITS

​

We are also Medicare certified and accept Workers' Compensation insurance plans. We also accept most out-of-network benefits for other insurances. Please contact us for more information.

CONTACT

Peak Physical Therapy is a preferred provider for most insurance companies including Medicare and Workers' Compensation, plus we gladly accept out-of-network benefits and cash pay. Prior to your first visit, we will verify your physical therapy benefits with your insurance company so you have a thorough understanding of your coverage.

1716 Miramonte Ave
Mountain View, CA 94040

​

Email: info@peak-mountainview.com

​

Tel: (650) 934-0455

Fax: (650) 318-5405

Hours:


Mon - Thurs: 7:20 am - 5:00 pm
Fri: 8:00 am - 4:00 pm

 

​​Saturday and Sunday: Closed

Thanks for visiting!

  • Facebook
  • Yelp
  • Instagram
bottom of page