Our staff is friendly and always ready to help with scheduling, insurance questions or anything else you may need to know.

New Patient Forms

To help expedite your appointment with us, we have provided the following forms for you to print and fill out prior to your first visit:

For your additional convenience, fill out the Interactive forms in your browser by simply clicking on the lines or clicking the checkboxes. Once your form is complete, download the file to save it, then email your forms to us at This email address is being protected from spambots. You need JavaScript enabled to view it..


Please do not hesitate to contact us to see if your treatment is covered by your insurance.

Accepted Insurances:

  • Aetna
  • American Lifecare/PHCS
  • Ancillary Care Services (ACS)
  • BeechStreet/Capp Care
  • BestCare, Inc.
  • Blue Cross Blue Shield
  • Chitimacha (CECHP)
  • Chitimacha Health Plan
  • Cigna
  • Community Care Network (CCN)
  • Corvel Corporation  
  • Coventry/First Health
  • Cypress Care (Workers Comp)
  • Evolutions Healthcare Systems
  • FARA PPO Network
  • F.A Richard & Associates
  • First Health/Coventry
  • Focus Healthcare Management
  • Galaxy Health Network/Managed Care, Inc.
  • Gilsbar 360° Alliance
  • Global Medical Management
  • Heritage Summit Healthcare of Florida, Inc.
  • Health Management Network
  • Health Payors Organization, Lt.
  • Healthstar, Inc.
  • Integrated Health Plan (IHP)
  • LWCC/Omnet
  • Metracomp
  • Med-Comp USA, Inc.
  • Medicare/Medicaid
  • Multiplan/ValuePoint by Multiplan
  • National Choice Care
  • National Comp Care
  • National Preferred Provider (NPPN)
  • National Preferred Network, Inc.
  • Preferred Health Network (PHN)
  • Preferred Sports Provider Network (PSPN)
  • Private Healthcare Systems (PHCS)
  • Office of Group Benefits
  • One Health Plan
  • Prime Health Services, Inc.
  • ProAmerica
  • PPO Plus
  • QRS Managed Care Svcs., Inc.
  • Reserve National Ins Company
  • TLC Advantage, L.L.C.
  • TechHealth, Inc.
  • Travelers
  • Tricare (Humana Military)
  • The Reny Company
  • United Healthcare
  • Union Pacific Railroad
  • USA Managed Care Organization
  • Universal SmartComp


To schedule an appointment with Boulet Physical Therapy & Wellness Institute, please call (337) 264-9856 or complete our online appointment request form by clicking here: Request an Appointment. If at any time you are unable to make your appointment, please notify us at least 24 to 48 business hours in advance. We will be glad to reschedule your appointment at a more convenient time if necessary. We greatly appreciate your time and consideration and look forward to seeing you.

Patient conveniences:

  • Accept & file most insurance
  • Short waits
  • Flexible scheduling
  • Same-day appointments
  • Ample free parking
  • Bus route just 2 blocks from the practice
  • Handicapped-accessible
  • Spacious, well-equipped gym
  • Private treatment rooms
  • Comfortable lounge for patients' families