Susan L. Nichols, OTR/L
880 Guard Sreet
Friday Harbor, WA 98250
Hand to Shoulder Therapy PLLC
Monday through Friday
Hours by Appointment
Office Staffed 10am to 2pm
INSURANCE AND BILLING
Please download and read
Notice of Privacy Practices.
Download and complete the forms
Privacy Statement Acknowledgement
Permission to Treat
and bring the signed forms with you to your appointment.
WELCOME, NEW PATIENTS
We are so pleased that you have chosen Hand to Shoulder Therapy for evaluation and treatment of your upper extremity problem.
SCHEDULING YOUR APPOINTMENT
In order to help us deliver the highest quality of care, please be prepared to provide the following information when you call to schedule your appointment:
Legal Name (Nickname if Applicable)
Date of Birth
Social Security Number
Insurance Information including Primary and Secondary Insurance Plans, Member #, Group #, and Policy #
Reason for Scheduling a Visit (for example, finger locking, hand numbness, wrist fracture, shoulder pain, etc.)
FOR YOUR FIRST APPOINTMENT
It is important that you bring the following materials to your appointment:
Driver License or other form of Identification
Emergency Contact Information
List of Medical Problems
List of Medications
Any medical records related to prior evaluation, surgery, or other treatment for your condition.
Copayments are due at the time of service.