Visit Our Locations
Bridgton, Norway, and Poland
Give us a Call
(207) 743-5493

Coming in for an appointment? Get the paperwork out of the way before your visit! Below find the paperwork needed by your insurance. You can print and fill this out at home and:

E-mail it to physicaltherapy@rbpt.com                                                                                          please include your name and paperwork in the subject line

Fax it to (207) 743-5563

Or bring it in to your first appointment. Please call us with any question (207) 743-5493.

 Are you covered by Medicare or Mainecare? If yes, please fill out the following forms:

Patient Information

MC-MA Policy

RBPT Policies

Are you covered by a Commercial Insurance or a Workers Compensation Agency/Claim or would like to Pay Privately*? If yes, please fill out the following forms:

Patient Information

RBPT Policies

Are you working with an Attorney for this injury or have an open claim from a Motor Vehicle Accident? If yes, please fill out the following forms:

Patient Information

RBPT Policies

Medical Lien

If you are not covered by Insurance, we do offer Private Payment rates which are listed below:

$110 Initial Evaluation

$95 Follow up visits