Pre-Visit Paperwork

Please complete the form below PRIOR to your visit

First name*

Last name*

Birthday*

Month

Day

Year

Single choice*

Medicare

NON Medicare

Address*

Phone*

Goals/Reason for Interventions

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone Number*

Date picker

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Frequently Asked Questions

5-Star Reviews Welcomed

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(402) 217-2722

caseybogenrief@a-well-being.org

Visits by appointment only

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A Well Being is physical therapy reimagined. Unlike conventional healthcare, Dr. Casey is mobile, treats in-person and virtually, and has additional credentials to provide the services of 5-professionals-in-1. In addition to traditional rehabilitation, Dr. Casey provides injury prevention services which 1) identify risk factors for earlier intervention, 2) provide accessible treatment to nip it in the bud, and 3) lower your healthcare cost by making, then keeping you, A Well Being.

A Well Being

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