TVPH

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Let's get to know each other ☺️ We'll get connected with a little information about you. What's your name?* This field is required.
First Name
Last Name
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What goal(s) do you want to accomplish as a patient at Treasure Valley Pelvic Health?* This field is required.Choose up to three for now.
Address symptoms that affect my bathroom habits, like urination, bowel movements, and leakage.
Eliminate pain in my pelvic area (internal or bony pelvis), low back, hip, or abdomen.
Get support for menstrual health, pregnancy and childbirth (including cesarean section), postpartum, or menopause.
Improve my sexual health and wellbeing.
Prepare for or recover from an abdominal, pelvic, or reproductive surgery.
Support my mind, body, and soul through energy healing.
Return to my usual activities following an injury.
Get expert help with a complex pelvic health issue that doesn’t fit neatly in one box.
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Top reasons for visit* This field is required.
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Thanks, {name:first}. Have you been to one of our offices before?* This field is required.
Yes, I'm a returning patient
I'm a new patient
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New or Existing
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Thanks for reaching back out, and we'll be glad to help you with your current symptoms or goals. Has your insurance changed since we last saw you?
YESNO
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Is there anything else you'd like us to know about your pelvic health?You'll have the opportunity to share more with us in a consultation call that we'll schedule momentarily.
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Some pelvic health issues require specialized training. To match you with providers who have the right expertise for you, let us know which of these reproductive organs you have:* This field is required.
A vagina
A penis
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When is your birthday?* This field is required.This is needed for patient verification and to verify insurance coverage
Date
Month
Day
Year
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We work with most insurance companies by providing in-network care or submitting reimbursement claims on your behalf. Let us know who covers most of your health care costs so we can share more details about your coverage and payments on our consultation call.* This field is required.
Blue Cross Blue Shield
Regence
Anthem
Premera
Select Health
Cigna
Aetna
United Health Care (UHC)
Pacific Source
St. Luke's Health Partners
Mountain Health Co-Op
Med-share plans
Medicare
Blue Cross Medicare Advantage
TRICARE
I'd like to pay cash or use an FSA/HSA card for visits
I don't see my insurance provider
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Insurance
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Great! We're in-network with your insurance provider. Just upload photos of the front and back of your card. We'll contact your insurance company and go over your coverage during your consultation.* This field is required.
Drag and drop files here
Select files to upload
Cancelof
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Thanks! We work with your insurance provider by submitting reimbursement forms for you after every appointment. Upload photos or screenshots of the front and back of your insurance card. We'll touch base with your insurance company so we can provide you more details about your reimbursement rates, as well as our financing plans, during our consultation call.* This field is required.
Drag and drop files here
Select files to upload
Cancelof
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Thanks! We do accept your insurance, though there’s usually a bit of a wait. We'll let you know the current timing during your consultation. In the meantime, go ahead and upload photos of the front and back of your insurance card so we can check on your coverage before we chat.* This field is required.
Drag and drop files here
Select files to upload
Cancelof
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Great! Our cash rate is $250 for sessions and $275 for your initial evaluation; we can discuss financing options and payment plans on our consultation call.
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No worries! Upload a photo or screenshot of the front and back of your insurance card. We'll touch base with your insurance company so we can provide you more details about your coverage during our consultation call.* This field is required.
Drag and drop files here
Select files to upload
Cancelof
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Let's schedule your Care Call

During this call, we will:

Gather information about the symptoms you’re experiencing

Discuss your goals for pelvic health physical therapy

Share details about our clinic and providers

Explain what sessions are like

Review what you can expect to pay based on your health care coverage

Click NEXT to schedule the time for your call:
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Choose the best time to jump on the phone to talk with our patient care coordinator.* This field is required.
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What's your phone number?* This field is required. This is the number at which you'd like us to call you
Please enter a valid phone number.
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Please opt-in for our text reminders to your phone number: {phone}* This field is required.
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Last step: What's your email address?* This field is required. This is where we will send you a reminder about our call
example@example.com
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Appointment Date
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Formatted Appointment Date
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Should be Empty:

Let's schedule your Care Call

During this call, we will:

Click NEXT to schedule the time for your call: