FORMS + FAQS

Welcome and thank you for choosing Masset Acupuncture & Physical Therapy Center. Here are the two forms that you will need to complete, print and bring with you for our first visit, as well as some useful information clarifying some of our policies and procedures. Thank you for carefully reading through the information provided below.

NEW PATIENT REGISTRATION FORM (PDF)

PAST MEDICAL HISTORY (PDF)

Do we participate with insurance?

Masset AC & PT Center does not participate with any insurance plans, and is not enrolled in the Medicare program. We will provide you with an itemized receipt that has all the necessary information for you to file with your insurance company. Be advised that some health plans may require pre-certification, prescriptions and/or referrals for reimbursement of physical therapy and acupuncture services. There may also be other plan restrictions and/or visit limits. It is your responsibility to know and meet the requirements of your insurance plan.

How long are the sessions?

Each one-on-one session is 60 minutes long for the initial evaluation and 50 minutes long for the follow up sessions. Please come 5 to 10 minutes before your scheduled appointment so we can run on time. If you are running more than 5-10 minutes late, please call to let us know.

How should I dress for the session?

Wear comfortable clothing, such as shorts and a tee-shirt that gives easy access to the area that we’re going to focus on.

How much do the sessions cost?

The Initial evaluation is $205, and follow-up visits are between $113 and $174 (depending on the treatment). Payment is due at the time of service (Cash, Check, Visa and Master Card accepted). You will be responsible for any interest or attorney fees incurred for collecting any unpaid balances.

How do I schedule an appointment?

You schedule your appointments directly with Michèle Masset by calling 202.429.0007 or emailing her at michmasset@aol.com. For each session a reminder email is send to you one week prior to your appointment. If you have a busy schedule and need some specific times, it is advised that you book your appointments 3 – 4 weeks in advance.

What is the cancelation policy?

Cancellations must be made at least 24 hours prior to the scheduled appointment (business day only/weekend not included), otherwise a cancellation fee equal to the amount of the session will be charged. This fee is due upon the next visit (or no later than 30 days if the patient does not have appointment) and cannot be billed to insurance.

Do I need a referral & a prescription?

The District of Columbia no longer requires a physician’s referral or prescription for physical therapy or acupuncture care. Regardless of the D.C. requirement, some insurance companies will require a physician’s referral or prescription to process your claim. It is recommended that you check with your health insurance about their physician’s referral policy. If a prescription is required, you are responsible for keeping it current.

What is our medical record or legal fee?

A minimum fee of $100 will be charged to send requested documents for legal purposes.