Patient Forms and Paperwork

For your convenience and information before starting therapy, we offer free verification of your therapy benefits. To do so, we would need to get copies of your primary and/or secondary insurance cards. We can receive copies of your cards( front and back) either by photo, fax or email.

Phone: 435-609-1095

Fax: 435-238-4604

Email: Exergyblanding@gmail.com