PATIENT QUESTIONNAIRE & OUTCOME SURVEY
Dear Valued Patient,
The staff at EXCEL Therapy Specialists is pleased to have been able to serve you. We appreciate all feedback we receive from patients and attempt to integrate your suggestions to improve our practice. In order to serve you better, we would appreciate you taking a few moments to complete this questionnaire. Please return it to the receptionist by mail, fax, or complete the questionnaire on our website at www.exceltherapyspecialists.com.
How would you rate the following based upon the key below:
1 = Excellent 2 = Very Good 3 = Good 4 = Fair 5 = Poor
Please circle the corresponding number:
1. The thoroughness of your initial physical therapy evaluation? 1 2 3 4 5
2. The professionalism and knowledge of your physical therapist? 1 2 3 4 5
3. The punctuality of the services you received? 1 2 3 4 5
4. Your physical therapist’s communication with your physician? 1 2 3 4 5
5. The overall quality of your physical therapy treatment program? 1 2 3 4 5
6. The professionalism, efficiency, and supervision of our physical
therapist support staff while performing your exercise program? 1 2 3 4 5
7. The professionalism, promptness and courtesy of our receptionist? 1 2 3 4 5
8. The ease with which you were able to schedule your appointments? 1 2 3 4 5
9. The professionalism and helpfulness of our business office personnel? 1 2 3 4 5
10. The clarity of the explanation of your insurance coverage? 1 2 3 4 5
11. The clarity of our billing procedures and statements? 1 2 3 4 5
12. Assistance with our billing procedures or insurance questions? 1 2 3 4 5
13. The overall quality of all services received at Excel Therapy Specialists? 1 2 3 4 5
14. Your overall experience at Excel Therapy Specialists? 1 2 3 4 5
15. How do you feel now, at the completion of your physical therapy program?
1) painfree/completely recovered 2) much improved
3) slightly improved 4) unchanged 5) worse 1 2 3 4 5
16. Would you return to Excel for care in the future or refer a friend/family member? yes no
17. Additional comments: ____________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS QUESTIONNAIRE!
Please return survey to:
EXCEL Therapy Specialists, LLC
Attention: Customer Service
2424 E. 21st Street, Suite 400
Tulsa, OK 74114
Or fax survey to: (918) 743-9234
Ardmore, OK
Our office hours are Monday through Friday from 7:30 AM to 6:00 PM. You must make an appointment and have a prescription or referral from your physician before arriving for physical therapy.
Address
2002 12st Street NW, Suite A
Surgeon’s Plaza
Ardmore, OK 73401
Phone: 580-226-9235
FAX: 580-226-9239
E-mail: excel@cableone.net
Map and Directions
Bartlesville, OK
512 SE Washington Blvd
Bartlesville, OK 74006
Phone: (918) 333-4343
Fax: (918) 333-4355
Broken Arrow, OK
Our office hours are Monday through Friday from 7:30 AM to 6:00 PM. You must make an appointment and have a prescription or referral from your physician before arriving for physical therapy.
Address
2232 W. Houston
NW Corner of 81st and 145th
Broken Arrow, OK 74012
Phone: 918-259-9522
FAX: 918-259-9521
E-mail: info@exceltherapyspecialists.com
Map and Directions
Durant
698 Westside Drive, #102 Durant, OK 74701
Phone: 580-931-3300
Fax: 580-931-3301
McAlester, OK
1609 N. Strong
McAlester, OK 74501
Phone: (918) 426-1322
Fax: (918) 426-1323
Muskogee, OK
Our office hours are Monday through Friday from 7:30 AM to 6:00 PM. You must make an appointment and have a prescription or referral from your physician before arriving for physical therapy.
Address
536 N. Main Street
Muskogee, OK 74401
Phone: 918-683-8555
FAX: 918-683-8552
E-mail: info@exceltherapyspecialists.com
Map and Directions
Okmulgee
523 E. 6th Street Okmulgee, OK 74447
Phone: 918-756-6060
Fax: 918-756-6058
Central Tulsa, OK
Address
51st & Yale
Tulsa, OK 74135
E-mail: info@exceltherapyspecialists.com
Midtown Tulsa, OK
Our office hours are Monday through Friday from 7:30 AM to 6:00 PM. You must make an appointment and have a prescription or referral from your physician before arriving for physical therapy.
Address
2424 E. 21st Street, Suite 400
SE Corner of 21st and Lewis
Tulsa, OK 74114
Phone: 918-743-9235 (74-EXCEL)
FAX: 918-743-9234
E-mail: info@exceltherapyspecialists.com
Map and Directions
South Tulsa, OK
Our office hours are Monday through Friday from 7:30 AM to 6:00 PM. You must make an appointment and have a prescription or referral from your physician before arriving for physical therapy. Se Habla Español.
10032 S. Sheridan, Suite Q
NW corner of 101st and Sheridan
Tulsa, OK 74133
Phone: 918-296-7900
FAX: 918-296-7979
E-mail: info@exceltherapyspecialists.com
Billing & Collections Office
Address
2232 W. Houston
Broken Arrow, OK 74012
Phone: 918-259-9522
FAX: 918-259-9521
Toll Free: 877-259-9520
E-mail: jwagoner@exceltherapyspecialists.com
Insurance companies refer to our facility frequently with the confidence that the patient’s problems will be resolved in a efficacious manner. EXCEL Therapy Specialists has a reputation throughout the insurance industry of ethical, appropriate, timely, and cost effective care. Because of the level of expertise of the therapists at EXCEL, patients are evaluated to set up a specific treatment program designed to resolve problems quickly, without unnecessary, palliative, and time consuming treatments.
Welcome to our Patient and Client Q&A section. The purpose this section is to answer some of the questions you have before you ask them and to give you an idea of the questions other patients and clients have asked.
If you have a question of a more immediate or personal nature that you want answered before you arrive for your visit, please contact us anytime!
If you can’t find your question try to search for it.
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[faq id=”1″]
[faq-search]
[quote]I’ve been referring patients to PT facilities for years and this one has made my life easier – and our patients lives better![/quote]-Nurse for referring orthopedics office
[quote]I previously went to another therapy office and I cannot believe the difference… Cannot stress enough how courteous, friendly and more importantly competent… I will recommend you to everyone – especially my doctor![/quote]
-Patient comment upon discharge
[quote] Everyone was so professional… The therapist was always in touch with my personal goals and progress. He let my surgeon know how I was doing every step of the way. I appreciate his concern and communication.[/quote]
-Patient comment
[quote]I’ve already sent my family members. That says it all ![/quote]
-Local referring physician
[quote]I hope I never need therapy for an injury again but if I do I would for sure come back here![/quote]
-Patient comment
[quote] I work downtown so the location was convenient. …glad you are open late so I could come after work for my appointments.[/quote]
-Patient comment
[quote] You called me before I even left the doctors office to set up my first appointment. Good service. Through all my visits, everyone has been very helpful. Thanks.[/quote]
-Patient comment
[quote] The staff here is wonderful – she made my difficult situation with billing much easier to handle…[/quote]
-Patient comment
[quote] My quality of life – and I hope my golf game – have improved dramatically.[/quote]
-Patient comment
[quote] I was two months behind on my ACL rehabilitation before I finally asked my doctor to send me to Excel. Now I’m making real progress![/quote]
-Patient comment
EXCEL Therapy Specialists participates with most insurance companies. In today’s health care, coverage for physical therapy varies greatly with the type of insurance you have. Some require re-certification for physical therapy. Prior to your first visit we will call your insurance company to ascertain your particular insurance coverage and/or requirements. We will advise you of this information often times before you start physical therapy, and we will make every effort to comply with your insurance company’s requirements to ensure proper coverage.
AARP
Advantage Freedom
Aetna HMO/PPO/POS/QPOS
Align Networks
Alliance
American Benefit Administrators
American Medical Security
Auto/Attorney Litigation
AIG
Assurant Health
Beech Street
Benefit Planners
BC/BS:
Preferred
Traditional
Lincs
Choice
65 Select
Workplace
Federal
BCE Emergis/UP&UP
BCE Emergis/ForMost
BCE Emergis/AHP
BCE Emergis/Pro America
CareIQ
CCN
CNA
Choice Care (Humana)
Champus
Cherokee Nation
City of Tulsa
Cigna/ Great West
Claims Administrative Services
Claim Indemnity
COMMUNITY CARE:
Commercial HMO
Care Plus
Senior Health Plans
** NOT contracted with hospital capitated plans:
St. Francis Network (PM)
St. John Network (VM)
Bartlesville Network (BA)
Omni Network (CO)
Comp Choice
Comp Source
Corvel
Coventry Health
(all FirstHealth & PPO Okla)
Crawford & Co
Creek Nation
Cunningham Lindsey
First Health
Fiserv Health
Focus
Fortis
Gallagher Bassett
Genex
Great West
Gab Robbins
Gates McDonald
GEHA
Hanover
HealthChoice
Health Payors Org. (HPO)
HealthSmart
Humana Military
Integrated Health Plan (IHP)
Intracorp
Kemper
Liberty Mutual
Lovelace
MailHandlers
Med-Advantage
Medicare
Medrisk
Mutual Assurance
National American
Network Synergy Group (NSG)
New England Financial
One Health
PHCS
PPO Oklahoma
OSMA (PLICO)
Pacificare
Preferred Community Choice
**Not Select Programs
Sedgewick
Specialty Risk
State Farm
Sterling
Travelers
Tricare
Prime
Standard
For Life
USAA
US Dept. of Labor (USDL)
US Healthworks
Unicare
United Healthcare
Universal Smart Comp
Valero
Wasau
Waterstone
Windsor Sterling
WorkNet of OK
(not including Tulsa and BA)
~~� THIS IS NOT AN ALL INCLUSIVE LIST� ~~
If you have an insurance company that is not on this list, please contact our office and we will verify if we are a provider for that particular plan.