Forms

Patients with hand problems can choose to fill out the registration form at home and bring it with them for their appointment.


PPO

Medicare 

Kaiser Permanente

Workers compensation

Consent to Treatment of a Minor

Self Pay

  • Intake
  • Flat rate Specialized Upper extremity Eval $125 by a CHT
  • Flat Rate specialized treatment $95 + Custom splints cost.

When coming for therapy at Hands-On-Care

  • Please Bring your Prescription 
  • Wear short sleeves / tank top for shoulder patient or layered clothes for your appointment

At Hands-On-Care we accept all PPO Insurances and some HMO’s

If an Insurance plan is not listed here please call us to find out at 408-268-8536. We are always adding new health plans to the list of insurances we accept

  • PPO
    • Blue shield
    • Aetna
    • Fortified Provider Network
    • Claris Pointe
    • United Healthcare
    • Unicare
    • Interplan Health group
    • TRPN (Three rivers provider network)
    • USA MCO
    • Cigna
    • Corvell
    • Great West
    • Stanford Health Plan
  • Workers Compensation
  • Medicare
  • Tricare
  • Self Pay 
  • HMO
    • Kaiser
    • SCCIPA
    • Stanford Health Plan
  • Some out of Network Plans