Patient Resources

From reception to therapy to billing, we’re here for you as you heal. Here you can find some common forms, frequently asked questions, and further details on insurance coverage. Please don’t hesitate to reach out should you have questions or concerns that aren’t answered on this page.

Forms & Documents

Are you new to Hulst Jepsen? Here are some forms and documents you may find helpful as you heal. More paperwork may be needed depending on diagnosis and insurance.

Needed Items for First Visit:
Driver’s license
Insurance Card
Physical Therapy Prescription/Referral from the Doctor
(If Applicable) Workman’s comp or Auto info

I actually enjoyed PT at HJPT. I have been to 4 different PT practices in the past but HJPT is my favorite. It feels more personal here and everyone is friendly. It’s like one big happy family which makes it easy to feel welcome. I will recommend your company to everyone.


Insurance Partners

We are more than willing to work directly with your insurance company as an advocate on your behalf. We simply request that you call the number on the back of your insurance card to verify your own benefits and coverages. Understanding your benefits will help you review our statements to verify we’ve been provided with all of the appropriate information needed to apply your benefits.

Participating Providers

We believe you should have access to healing. For this reason we’ve partnered with over forty major insurance companies. Please contact us should you have any questions.

  • AARP
  • Aetna Health Care
  • American Continental
  • American Medical Security
  • ASR- Physicians Care Network
  • Assurant Health
  • Auto Insurances (All)
  • Bankers Life
  • Blue Care Network
  • Blue Cross Blue Shield (All Products except for Blue Cross Complete)
  • Cigna
  • Cofinity
  • Colonial Penn
  • Continental General
  • Coresource
  • Family Life Insurance
  • First Health
  • GEHA
  • Gerber Life
  • Golden Rule
  • Grand Valley Health Plan
  • Guarantee Trust Life
  • Hartford Life
  • Health Alliance Plan (HAP)
  • Humana
  • KSKJ Life
  • Lincoln Heritage Life
  • Loyal American Life
  • Mailhandlers
  • Medical Mutual
  • Medicare (All Advantage/Railroad Products)
  • Meritain Health
  • Monumental Life
  • Multi-Plan
  • Mutual of Omaha
  • Network Synergy Group
  • Physicians Health Plan
  • Pioneer State Mutual
  • Priority Health PPO/POS/HMO/Medicaid/Medicare
  • Secure Horizons
  • Selective Insurance Co
  • Standard Life
  • Starmark
  • Theramatrix
  • Tricare
  • Trustmark
  • UMR
  • United American
  • United Health Care
  • USAA
  • Worker’s Compensation (All)
  • Zurich

Bill Payments

Our preferred payment methods are:

Check, Debit Card, Mastercard, Visa, Discover, and American Express.

Questions? Call the Billing Office at 616-608-9979 or email us at