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Effective URL: https://www.getluna.com/physicians
Submission: On July 12 via manual from US — Scanned from DE
Effective URL: https://www.getluna.com/physicians
Submission: On July 12 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="form-prescription" class="form bg-base-100 bg-base-xs-200 shadow-none-xs bg-base-sm-200 shadow-none-sm shadow-center-4 p-40 p-sm-0 p-xs-0 hbspt-form" novalidate="novalidate">
<input type="hidden" name="_token" value="Hq9rzL0fiyjeN3SeaGmaYe32RAJrHNRN4YgXogfI">
<h3 class="color-purple-800 mt-0 mb-30 text-center">Patient Prescription for PT</h3>
<div class="m-auto mb-20 mw-650-px">
<div class="row">
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="patient_name">Patient First Name</label>
<input type="text" name="patient_name" id="patient_name" class="input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="patient_lastname">Patient Last Name</label>
<input type="text" name="patient_lastname" id="patient_lastname" class="input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="phone_number">Phone Number</label>
<input type="tel" name="phone_number" id="phone_number" class="input-element mt-5" required="" maxlength="14">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="zip_code">Zip Code (if known)</label>
<input type="number" name="zip_code" id="zip_code" pattern="[0-9]*" class="input-element mt-5">
</div>
<div class="form-item mb-20 col-12">
<label class="body-small" for="DOB">DOB</label>
<input type="text" id="DOB" name="DOB" class="input-element mt-5 DOB hasDatepicker" readonly="">
</div>
<div class="form-item mb-20 col-12">
<label class="body-small" for="diagnosis">Diagnosis</label>
<textarea name="diagnosis" id="diagnosis" class="input-element mt-5" rows="3" required=""></textarea>
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="first_session">Desired date of 1st session</label>
<input type="text" name="first_session" id="first_session" class="input-element mt-5 datepicker hasDatepicker" readonly="" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="sessions_week">Desired # sessions per week / # of weeks</label>
<input type="text" name="sessions_week" id="sessions_week" class=" input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-12">
<label class="body-small" for="additional_instructions">Rx (Precautions, Prehab, Pre-op Home Assessment, etc.)</label>
<textarea name="additional_instructions" id="additional_instructions" class="input-element mt-5" rows="3" required=""></textarea>
</div>
<div class="form-item mb-30 col-12">
<hr class="border-base-500 border-sm-base-400 border-xs-base-400">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="physician_name">Physician First Name</label>
<input name="physician_name" id="physician_name" type="text" class="input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="physician_lastname">Physician Last Name</label>
<input name="physician_lastname" id="physician_lastname" type="text" class="input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="clinic_name">Clinic Name</label>
<input name="clinic_name" id="clinic_name" type="text" class="input-element mt-5" required="">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="clinic_fax_number">Clinic Fax Number</label>
<input name="clinic_fax_number" id="clinic_fax_number" type="tel" class="input-element mt-5" required="" maxlength="14">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="physician_number">Physician Phone Number</label>
<input name="physician_number" id="physician_number" type="tel" class=" input-element mt-5" required="" maxlength="14">
</div>
<div class="form-item mb-20 col-6 col-sm-12 col-xs-12">
<label class="body-small" for="physician_email">Physician Email</label>
<input name="physician_email" id="physician_email" type="email" class="input-element mt-5" required="">
</div>
<div class="form-item mb-30 col-12">
<hr class="border-base-500 border-sm-base-400 border-xs-base-400">
</div>
</div>
</div>
<input type="hidden" id="utm_source" name="utm_source" value="">
<input type="hidden" id="utm_campaign" name="utm_campaign" value="">
<input type="hidden" id="utm_medium" name="utm_medium" value="">
<input type="hidden" id="utm_term" name="utm_term" value="">
<input type="hidden" id="utm_content" name="utm_content" value="">
<button id="submit-prescription" class="button button-purple shadow mb-10 m-auto w-100 mw-300-px d-block" type="submit">Submit</button>
<p class="body-small text-center">Submit Rx by Fax: <span class="color-purple-600">(628) 246-8418</span></p>
</form>Text Content
Press Alt+1 for screen-reader mode, Alt+0 to cancelAccessibility Screen-Reader Guide, Feedback, and Issue Reporting Cookie Preferences We use third-party cookies that help us analyze how you use this website, store your preferences, and provide the content and advertisements that are relevant to you. Under the California Privacy Rights Act (“CPRA”) and as described in our Privacy Policy, the disclosure of your personal information to these third parties may constitute a “sale” or a “share” of your personal information. However, you can opt out of the sale or sharing of the personal information collected by these cookies by checking “Do Not Sell or Share My Personal Information” and clicking the “Save My Preferences” button. Once you opt out, you can opt in again at any time by unchecking “Do Not Sell or Share My Personal Information” and clicking the “Save My Preferences” button. Do Not Sell or Share My Personal Information Cancel Save My Preferences Powered by * How It Works * Rates & Insurance * What We Treat * For Therapists * For Providers * Physicians * Health Plans * Health Systems * Employers * PT Clinics * Download App 866-806-3599 IN-HOME PT MEANS CONVENIENT OUTPATIENT THERAPY FOR YOUR PATIENTS. In-Person Delivery In-App Exercises HOW IT WORKS Luna has exceptional therapists in your patients’ communities and accepts all major insurances and Medicare. Join the 1,500+ physicians that refer to Luna today. IN-HOME PT CONVENIENT SUPPORT EXPERT THERAPISTS A Luna therapist will treat your patient at their home via in-person delivery and prescribed in-app exercises. Your patient can book appointments online or over the phone. We’ll confirm their insurance coverage before the first visit, so there are no billing surprises. We’ll use your patient’s clinical needs to match them with a therapist with the right expertise. And your patient will work with the same therapist for every appointment. IN-HOME PT A Luna therapist will treat your patient at their home via in-person delivery and prescribed in-app exercises. CONVENIENT SUPPORT Your patient can book appointments online or over the phone. We’ll confirm their insurance coverage before the first visit, so there are no billing surprises. EXPERT THERAPISTS We’ll use your patient’s clinical needs to match them with a therapist with the right expertise. And your patient will work with the same therapist for every appointment. MEET SOME OF OUR THERAPISTS EMILY KALLEN PT, DPT Specializes in: Post Operative Rehab, Balance and Fall Disorders, Osteoporosis Rehab PAUL NGUYEN PT, DPT, OCS Specializes in: Manual Therapy, Spine Care, Post Operative Rehab KAREN KHUU PT, DPT Specializes in: Ortho and Sports Medicine, Pelvic Floor ‹› COVERED BY INSURANCE COMMERCIAL INSURANCE SAME CO-PAY Your patient will pay the same that they would pay to visit a clinic, not a penny more. We accept all major insurances and Medicare. MEDICARE $0 PER VISIT Most Medicare plans with a secondary cover your patient’s entire cost. They’ll pay nothing to Luna. SELF-PAY $125 PER VISIT Your patient won’t be charged until after their visit is completed. COMMERCIAL INSURANCE SAME CO-PAY Your patient will pay the same that they would pay to visit a clinic, not a penny more. We accept all major insurances and Medicare. MEDICARE $0 PER VISIT Most Medicare plans with a secondary cover your patient’s entire cost. They’ll pay nothing to Luna. SELF-PAY $125 PER VISIT Your patient won’t be charged until after their visit is completed. DO YOU PERFORM MEDICARE BUNDLED SURGERIES? PHYSICIANS WHO REFER TO LUNA SAVE ON AVERAGE $3,000 PER CASE. TECHNOLOGY-ENABLED PHYSICAL THERAPY Receive weekly patient PT progress updates via the Luna Physician Dashboard. * Timely: Sent weekly by secure email * Relevant: Organized by each physician * Insightful: Case distribution, patient demographics, and more * Valuable: Pain level and functional scale improvements * Efficient: Easily view each patient’s status PHYSICIAN DASHBOARD IN-APP EXERCISES CONCIERGE SERVICE Physicians can view a patient’s healing progress with Luna’s weekly physician dashboard. Patients can stay motivated, track progress, and heal faster with therapist prescribed and monitored exercises. Patients can schedule and manage visits, message their therapist, and use their insurance to pay. PHYSICIAN DASHBOARD Physicians can view a patient’s healing progress with Luna’s weekly physician dashboard. IN-APP EXERCISES Patients can stay motivated, track progress, and heal faster with therapist prescribed and monitored exercises. CONCIERGE SERVICE Patients can schedule and manage visits, message their therapist, and use their insurance to pay. LUNA FOR PHYSICIAN GROUPS REDUCE OPERATING COSTS MAINTAIN EXCEPTIONAL CARE SEE THE CLINICAL IMPACT Physician groups that partner with Luna are able to re-allocate existing staff costs toward other initiatives. We’ll reserve appointment times for you so your patients never have to wait. Luna is available in every part of your metropolitan area, 7 days per week. Patients have greater success with Luna because we prioritize access to the best therapists, our technology platform, and ongoing care. REDUCE OPERATING COSTS Physician groups that partner with Luna are able to re-allocate existing staff costs toward other initiatives. MAINTAIN EXCEPTIONAL CARE We’ll reserve appointment times for you so your patients never have to wait. Luna is available in every part of your metropolitan area, 7 days per week. SEE THE CLINICAL IMPACT Patients have greater success with Luna because we prioritize access to the best therapists, our technology platform, and ongoing care. CONNECT WITH OUR PRACTICE ONLINE PRESCRIPTION PADS IN YOUR EMR Use our secure web form to send us a prescription for your patient. We can deliver Rx pads to your office, just let us know when it’d be convenient. Add Luna to your EMR for easy referrals. We already work with many EMRs in the market. ONLINE Use our secure web form to send us a prescription for your patient. PRESCRIPTION PADS We can deliver Rx pads to your office, just let us know when it’d be convenient. IN YOUR EMR Add Luna to your EMR for easy referrals. We already work with many EMRs in the market. DR. JEFF CROKE INTERNAL MEDICAL GROUP, PALO ALTO LUNA REPRESENTS EVERYTHING PHYSICIANS LIKE TO HEAR: EXPERIENCED THERAPISTS, NO WAIT TIMES, AND CONVENIENT IN HOME CARE. BETTER ACCESSIBILITY IS CRITICAL FOR PATIENTS’ OUTCOMES AND LUNA IS A BREAKTHROUGH IN THE PHYSICAL THERAPY OPTIONS FOR BUSY PATIENTS. SUBMIT A PRESCRIPTION Submit an Rx securely for your patient using the form below. We’ll use this information to contact and onboard your patient to Luna. PATIENT PRESCRIPTION FOR PT Patient First Name Patient Last Name Phone Number Zip Code (if known) DOB Diagnosis Desired date of 1st session Desired # sessions per week / # of weeks Rx (Precautions, Prehab, Pre-op Home Assessment, etc.) -------------------------------------------------------------------------------- Physician First Name Physician Last Name Clinic Name Clinic Fax Number Physician Phone Number Physician Email -------------------------------------------------------------------------------- Submit Submit Rx by Fax: (628) 246-8418 FREQUENTLY ASKED QUESTIONS WHERE ARE LUNA THERAPISTS PROVIDING TREATMENT? Our therapists see patients across the United States. See our service areas. IS THERE A WAITING LIST FOR NEW PATIENTS? No—we maintain a schedule that can always accommodate new patients. Our practice is designed to make care more accessible. Most patients can have their first at-home physical therapy appointment within 48 hours of signing up. Our therapists work 6:30 am - 8:30 pm, 7 days a week. ARE LUNA THERAPISTS EXPERIENCED? Therapists practicing with Luna have been treating patients for 3+ years, often considerably more. Each therapist completes a thorough interview process, a background check, and engages with our team on their goals and their commitment to providing high-quality care. Our community of therapists has expertise in a variety of specialities, including orthopedics, neurology, geriatrics, vestibular and post-operative care. Many of our therapists have worked in marquee outpatient facilities like Stanford Hospital, Kaiser Permanente, UCSF, and the Mills-Peninsula Medical Center. Others have worked at independent practices that are focused on sports medicine and physical therapy. DO PATIENTS ALWAYS SEE THE SAME THERAPIST? Most of the time, yes. While a patient’s scheduling priorities may require adjustments, we strive to have a single therapist work with each patient for their entire course of care. ARE LUNA VISITS COVERED BY INSURANCE? Luna accepts all major insurances and Medicare. We handle the benefits verification process for your patients. With Luna, your patients always pay the same exact co-pay their insurance plan has for visiting a PT clinic. Our self pay rate is $125 per visit. HOW CAN I SUBMIT A PRESCRIPTION FOR MY PATIENT? Submit a prescription for your patient through this page, via our hand delivered prescription pads, or through your EMR. If your patient reaches out to us directly, we will communicate back with your office. HOW CAN I MONITOR MY PATIENT’S PROGRESS? You can easily monitor patient progress via our weekly Physician Dashboard. You’ll be able to view everything from case distribution to how your patients are improving as they complete their PT case with Luna. WHY DOES PT AT-HOME INCREASE PATIENT RECOVERY? More convenience means your patients will actually complete their care plans. Our therapists spend up to 4x more time with each patient than they can in a traditional clinic. Each patient gets a full 45-55 minute appointment that’s 100% focused on their course of care. That 1:1 level of attention leads to a more personalized patient experience, higher patient participation, and ultimately, a better outcome. Read more here. HOW ARE EXERCISES PRESCRIBED BY LUNA THERAPISTS? Luna therapists prescribe exercises in the Luna App for patients to perform to aid in their recovery. Luna PTs are able to monitor their patients’ progress and can modify their workout plan either between visits or during their next visit to ensure patients get better, faster. SUBMIT RX NOW -------------------------------------------------------------------------------- Send Fax: (628) 246-8418 WHERE WE SERVE Select a stateArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIllinoisMarylandMassachusettsMichiganMinnesotaMissouriNevadaNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaTennesseeTexasUtahVirginiaWashington StateWisconsin See our full service area list WE ACCEPT ALL MAJOR INSURANCES AND MEDICARE. LUNA IS COVERED BY: To instantly verify benefits in 30 seconds or less: Call/Text 866-806-3599 Call/Text 866-806-3599 or Verify Now CALL/TEXT US Call Us 866-806-3599 Text Us 916-963-9219 Physical therapy, delivered.® Call/Text: 866-806-3599 Fax Rx: 628-246-8418 SERVICES Conditions We Treat Patient FAQ Insurance FAQ In-Home PT PT Near Me COMPANY About Us / Careers Newsroom Blog Resources Contact Us PARTNERS For Therapists For Physicians For Health Systems For Employers For PT Clinics LEGAL & PRACTICES Accessibility Options Empowerment Pledge Terms of Use Privacy Policy Therapist Directory Physical therapy, delivered.® Call/Text: 866-806-3599 Fax Rx: 628-246-8418 SERVICES Conditions We Treat Patient FAQ Insurance FAQ In-Home PT PT Near Me COMPANY About Us / Careers Newsroom Blog Resources Contact Us PARTNERS For Therapists For Physicians For Health Systems For Employers For PT Clinics LEGAL & PRACTICES Accessibility Options Empowerment Pledge Terms of Use Privacy Policy Therapist Directory Physician Directory REGIONS WE SERVE Alexandria/Arlington Atlanta Austin Baltimore Bay Area Boston Charlotte Chicago Cincinnati Cleveland Colorado Springs Columbus Dallas/Fort Worth Denver Detroit Fort Myers Grand Rapids Hampton Roads Hartford Houston Inland Empire Jacksonville Las Vegas Los Angeles Milwaukee Minneapolis Nashville New York City Oklahoma City Orange County Orlando Philadelphia Phoenix Pittsburgh Portland Potomac Raleigh/Durham Richmond Sacramento Salt Lake City San Antonio San Diego Seattle South Florida Spokane St. Louis Sussex County Tacoma Tampa Tucson Washington D.C. REGIONS WE SERVE Alexandria/Arlington Atlanta Austin Baltimore Bay Area Boston Charlotte Chicago Cincinnati Cleveland Colorado Springs Columbus Dallas/Fort Worth Denver Detroit Fort Myers Grand Rapids Hampton Roads Hartford Houston Inland Empire Jacksonville Las Vegas Los Angeles Milwaukee Minneapolis Nashville New York City Oklahoma City Orange County Orlando Philadelphia Phoenix Pittsburgh Portland Potomac Raleigh/Durham Richmond Sacramento Salt Lake City San Antonio San Diego Seattle South Florida Spokane St. Louis Sussex County Tacoma Tampa Tucson Washington D.C. © 2023 Luna® Site Map Cookie Settings Directories Follow us on: THERAPISTS DIRECTORY PROFILES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 PHYSICIANS DIRECTORY PROFILES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 CLINICS DIRECTORY PROFILES 1 2 3 4 5 6 7 8 9 10