



Physicians of Rehabilitation, Industrial & Spine Medicine, P.C. welcomes you as a patient to our office. We are looking forward to meeting you and doing our best to serve your needs.
What to expect when you arrive for your appointment
- health insurance cards and photo ID will be copied
- several signatures will be needed
- visit copays and non covered services defined by your insurance carrier are due at time of service
Please use the forms on this website, linked below, to prepare for your appointment. Please arrive at least 15 minutes early if you prefer to wait until your appointment to complete your registration and medical history. We cannot proceed with your appointment until this information is received.
We will ask your referring doctor to forward records to us. If you have had any x-rays, MRI’s and/or CT scans that directly relate to your injury/area of pain, it is necessary that you bring these films or reports with you to your appointment.
If it is not possible for you to keep your scheduled appointment time or you do not know your appointment date/time, please call us immediately.
Patient Registration Forms
How To Make An Appointment
Directions
HMO, Managed Care & Medical Assistance Patients
Workers’ Comp & Automobile Accident Insurance
Health Insurance Participants
Patient Registration Forms
Please print, complete and bring the forms below with you to your appointment. If you have any questions, please call us for assistance.
How to Make an Appointment
Most of our patients are initially referred by their primary care physicians, surgeons, or workers’ compensation panel physicians.
We can be reached for appointments at the following:
4310 Londonderry Road, Suite 106
Harrisburg, PA 17109
Office 717.561.4242 Option 3
175 Lancaster Blvd.
Mechanicsburg, PA 17055
Office 717.691.3755 Option 3
Directions
PRISM offers two conveniently located offices serving Central Pennsylvania:
PRISM West Shore Office
175 Lancaster Boulevard
P.O. Box 2028
Mechanicsburg, PA 17055
717.691.3755
Fax 717.691.3834
click for directions to our West Shore Office
PRISM East Shore Office, Suite 106
Phone 717.561-4242
PRISM Center for Spine and Pain Care, Suite 100
Phone 717.703.3920
The Bloom Building (located behind Community General Osteopathic Hospital)
4310 Londonderry Road
Harrisburg, PA 17109
click for directions to our East Shore Office
HMO, Managed Care & Medical Assistance Patients
Your insurance requires proper authorization before we can see you. Our office will make every attempt to obtain the authorization. This action is required even if you have current coverage through workers’ compensation or automobile accident insurance. Managed care companies will not give retroactive referrals.
Workers’ Compensation & Automobile Accident Insurance
We will bill only your workers’ compensation or auto coverage until we have a letter of denial from workers’ compensation or a letter of benefit exhaustion from the auto carrier. Once denied or exhausted, we will bill any unpaid services to your health insurance. Any authorizations from your health insurance will not be used until there is a denial of workers’ compensation or exhaustion of auto benefits. This is your protection against unexpected out of pocket expenses. Our staff will be happy to answer any questions you may have about this process.
Health Insurance Participants
- Aetna
- Capital Blue Cross
- Cigna
- Educators Health Partners
- Federal Blue Cross/Blue Shield
- Health America / Health Assurance
- Highmark Blue Shield
- Medicare
- Personal Choice / Independence Blue Cross/Blue Shield
We will coordinate billing with the patient’s specific provider.