| Our Team |
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W. Stu Hogg,
PT, COMT
Stu has been a Physical Therapist in Southern Oregon since 1992. He specializes in Orthopedics, Spine & Sports Rehabilitaion. |
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Heather LaPrath,
DPT
Heather graduated from the doctorate program at the University of Montana in 2011. |
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Christy Karcher,
PT, OCS, Cert-MDT, CSFA
Christina has been a physical therapist in Lane County since 1986, specializing in orthopedics, sport and spine rehabilitation
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FORMS
We look forward to meeting you as a patient in our office. Remember
that most insurance companies require a written prescription
from your physician so please bring that with you to your
first appointment (evaluation). Click here to find out the
Insurance Companies
we are providers for. We encourage you to call your insurance
company directly to verify your benefits.
Following are links to forms that are required at your first visit to our clinic.
Please download the forms and complete them prior to your
appointment. If you have any questions about the forms, feel
free to call our office.
- Patient Forms
Print out and complete these forms and bring with you to your evaluation visit in our office.
- TAOS
Instructions: Please complete the first section titled Functional Index. Next, complete the sections that pertain to the body part you are being referred to physical therapy for (i.e. neck pain would complete cervical/thoracic sections C, D). Also, be sure to rate the pain index level within the last 24 hours on the scale.
- Privacy Practices
Our office is HIPAA compliant. Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
- Satisfaction Survey
We welcome your input about the services you received while a patient at Cottage Grove Physical Therapy. Please download this form and mail it in to our office. All comments are anonymous.
- Medical Record Request
You have the right to request a copy of your medical record. We will honor these requests as promptly as possible. We do require notification in writing by completing an Authorization to Use and Disclose Patient Information which requires your signature and then can be mailed to our office or delivered personally.
If you provide us your insurance information before your initial evaluation, we will verify your benefits with your insurance company for you. Insurance is a contract between the patient (you) and your insurance company. It is your responsibility to be aware of your benefits, eligibility, authorization requirements and co-insurance or co-payments.
Co-insurance or co-payments are expected at the time of
each visit
unless other arrangements are made.
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