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Registration
Please print and fill out all of the following forms prior to visiting us.
And one of the following forms:
- General Intake Questionnaire (used for most diagnoses)
- Women's Health Intake Questionnaire (complete for pelvic pain or incontinence diagnoses)
- Men’s Health Intake Questionnaire (complete for pelvic pain or incontinence diagnoses)
- Wheelchair Intake Questionnaire (complete if you are being seen for a wheelchair fitting)
- Lymphedema Questionnaire (complete only if you are being seen for lymphedema)
- ALS Questionnaire (complete only if you are being seen for ALS)
If you have a question of what form to use please contact our office 1-888-372-2629.
Acrobat
Reader 4.0 or higher is required to open the above forms. To download
and get help using the Adobe Acrobat Reader, please go to: http://www.adobe.com/products/acrobat/readstep.html
Insurance
Prairie Rehabilitation Services is a Participating Provider in the following networks and programs:
- Accountable Health Plans (formerly Plaines Health Networks)
- Aetna U.S. Healthcare
- Allina / Medica /SelectCare
- America's PPO (formerly The Araz Group)
- Avera Health Plans (Tea, Brandon, Hartford and all MN locations only)
- Blue Cross Blue Shield of Minnesota and* affiliates
- Corvel
- Dakotacare
- First Choice of the Midwest
- Medicaid (South Dakota and Minnesota, including PMAP programs)
- Medicare (South Dakota and Minnesota)
- Midland's Choice (Sanford Health Plans)
- Mutual of Omaha (through TLC Advantage )
- Patient Choice Health Care (formerly Choice Plus)
- Preferred One
- Prime West Health Systems
- ProNet
- Sanford Health Plans
- TLC Advantage
- Tricare/Champus
- TriWest
- Wellmark Blue Cross Blue Shield of South Dakota and affiliates
We regularly evaluate our network participation and respond to the requests of patients and referring physicians. Please contact Melanie Wagner at (605) 334-5630 or mwagner@prairierehab.com if your insurance company's PPO is not listed here.