Contact Us
Great Basin Physical Therapy and Performance Center
1701 County Road Suite B
Minden, NV 89423
Monday – Friday
8:00 a.m. to 5:00 p.m.
(Except holidays)
PHONE: 775-782-4466
FAX: 775-783-9708
EMAIL: ashwin.datt@greatbasinpt.com
CLICK HERE to view a map to our location and get step-by-step driving directions.
INSURANCE
We accept most insurances, cash pay, auto accidents, attorney leins, TriCare, Medicare and workers compensation insurance.
CLICK on the links below to download patient forms in PDF format. (You will need Adobe Reader 7 or newer to open and fill out the forms.) You can access our Patient Forms online. Forms are downloadable PDF files that can be filled out on your computer or mobile device. You will need to print the forms and bring them to our office for your appointment. Thank you.
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New Patient Welcome Packet — Please fill out the form, print it and bring it with you to your appointment. |
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New Patient Intake Form — Please fill out the form, print it and bring it with you to your appointment. |
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Medicare Questionnaire Form — Please fill out the form, print it and bring it with you to your appointment. |
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Medicare ABN Forms — Please fill out the form, print it and bring it with you to your appointment. |
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Patient Satisfaction Survey Form — Please fill out the form, print it and mail it to our address (above) or attach it to an email and send it to Ashwin Datt's address (above). |
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CLICK HERE to download Adobe Reader software from Adobe's website. |