FAQs

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Why Evoke?

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Your session will primarily focus on Bodywork and a holistic approach to body wellness. This means that the majority of the session I will be working on you manually, utilizing a combination of manual therapy techniques which may include deep tissue massage, myofascial release, abdominal massage, trigger point release, craniosacral therapy, strain counterstrain techniques, visceral mobilization, soft tissue mobilization, somatoemotional release, muscle energy, scar tissue mobilization, connective tissue release, unwinding and more. Treating the root cause and balancing the whole body's myofascial and structural systems is utmost to getting a person well and staying well! Progressing to core retraining, stretching and advanced core exercises is an important piece to staying well too. These specific individualized exercises will be instructed and provided for you to practice at home. I teach you tools to help you keep your body in alignment. It's all about empowering you to know how to help yourself. I really love it when my patients tell me, "I started feeling something and then I did that thing you showed me and I was better!" AWESOME! I am dedicated to helping you and I truly care. Our sessions are private and we talk. Having a holistic approach, I evaluate all the pieces of your life, that which brought you to the point where you are now. Everything affects everything and I consider everything in helping you on your wellness journey. I know personally that at times healing can be difficult, overwhelming and isolating. I often tell my patients to use the support of their "trees" ~ faith, family and friends." My patients know that they have my support; how necessary it is to feel supported. Together, we will evoke your inner potential and mobilize change towards your goals and independence! ― You Have My SupportSandra

Why Evoke

 

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Will I have the same Provider each visit?

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Sandra LaBella, PT is the owner and director of Evoke Physical Therapy and Wellness Center.  She is the sole provider at her office.  She believes deeply in the importance of having one provider throughout your healing journey. Ultimately, developing a trusting relationship helps the healing process and this can not happen if you are switched around to different providers each visit.  With an established trust you and your body are relaxed and confident. This enables your provider true access to understanding your needs and together you can pink-swirl-plain-w-brdrevoke change towards health and healing!

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What to Expect at your first Pediatric Visit?

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Our Pediatric Pelvic Floor Initial Evaluations are typically 60 minutes long. This is an important time for us to get to know your child. Please feel free to contact Sandra prior to your appointment to discuss any specifics that can help make your child feel more at home during your office visit.  Our goal is to empower your child with confidence and to create an environment in which he or she will enjoy coming to. Please arrive 20 minutes prior to your scheduled appointment to fill out our New Patient Pediatric Forms Packet or you may download them below to fill out and bring with you. The Bladder and Bowel Diary form will provide us with valuable information regarding your child’s food and fluid intake and voiding and bowel elimination patterns. We ask that you do this over 3 days, preferably Saturday, Sunday and Monday. At the beginning of our appointment we will review your child’s new patient forms and discuss current complaints, past medical history and lifestyle. The next portion of the evaluation we will focus on education of the pelvic floor, bladder and bowel anatomy and function.   Please feel free to ask questions at any time. We will be working together as a team and your questions are important to us and encouraged. A pelvic floor evaluation will follow with parental and child consent. Please note, we do not perform internal evaluations on the pediatric population. External Pelvic floor evaluation will include visual observation including:

  • Perineum to assess skin condition
  • Pelvic Floor Muscle to assess its ability to contract, relax and stretch
  • Light touch sensation testing
  • External anal reflex testing

An orthopedic assessment will complete your child’s evaluation including an assessment of posture, spine and pelvic alignment, diaphragm and breathing, lower extremity and abdominal muscle strength, sensation and reflexes. At any time if your child becomes uncomfortable during the evaluation or any treatment session, we can stop and discuss other alternatives that meets his or her level of comfort. We offer gowns and closed door treatment rooms for your privacy. Once our assessment is complete we will discuss our findings, answer any questions, review pelvic anatomy or specifics as it relates to your child's condition, discuss a treatment plan, co-create goals and set a recommended appointment schedule. On average, children generally need to be seen for 6-8 visits. Treatment programs are based on your child’s evaluation and are specifically designed to efficiently and effectively maximize progress and to meet your child’s needs. A parent or guardian must be present at each visit.

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What to Expect at your first Pelvic Floor Visit?

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Pelvic Floor initial evaluations are typically 60 minutes long. This is an important time for us to really get to know you. Please arrive 20 minutes prior to your scheduled appointment to fill out our New Patient Pelvic Forms Packet. Please take your time to fill it out completely. Our Notice of Privacy Practices will also be attached. You may keep a copy for your records, find it on our website or obtain a copy at our Centennial office. At the beginning of our appointment we will review your new patient forms, discuss your current complaints, review your past medical history and learn about your lifestyle and function. The next portion of the evaluation we will focus on patient education of the pelvic anatomy and pelvic musculature as it relates to your complaints.   Please feel free to ask questions at any time. We will be working together as a team towards your recovery and your questions are very important to us, valued and necessary for your progression. A pelvic floor evaluation will follow with your consent.  This may include observing and palpating the external musculature of your pelvic girdle and internal vaginal or rectal regions. The evaluation will provide us with a complete assessment of your muscle tone, skin condition, muscle restrictions, reflexes, sensation, muscle length, strength, muscle endurance, coordination, trigger points, scar mobility and pelvic floor function and movement. Please note that internal evaluations are performed on our adult patients only. An orthopedic assessment will complete your evaluation.  We will assess your posture, spine and pelvic alignment, diaphragm and breathing, scar mobility, lower extremity and abdominal muscle tone, length, strength, flexibility, restrictions, function, sensation and reflexes. At any time if you become uncomfortable during the evaluation or any treatment session, we can stop and discuss other alternatives that meet your level of comfort. We offer gowns and closed door treatment rooms for your privacy. Once our assessment is complete we will discuss our findings, answer any questions, review pelvic anatomy or specifics as it relates to your condition, discuss a treatment plan, co-create goals and set a recommended appointment schedule tailored to maximize your progress.

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What to Expect at your first Visit?

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Initial evaluations are typically 60 minutes long. This is an important time for us to really get to know you. Please arrive 20 minutes prior to your scheduled appointment to fill out our New Patient General Forms Packet. Please take your time to fill it out completely. Our Notice of Privacy Practices will also be attached. You may keep a copy for your records, find it on our website or obtain a copy at our Centennial office. At the beginning of our appointment we will review your new patient forms, discuss your current complaints, review your past medical history and learn about your lifestyle and function. The next portion of the evaluation we will focus on patient education as it relates to your complaints. Please feel free to ask questions at any time. We will be working together as a team towards your recovery and your questions are very important to us, valued and necessary for your progression. Your evaluation will follow with a complete assessment of posture, range of motion, flexibility, strength, joint mobility, soft tissue, myofascial restrictions, special tests, functional mobility, sensation and reflexes. You can wear comfortable clothes and with your consent certain areas may need to be exposed for examination and treatment. We offer gowns and closed door treatment rooms for your privacy. Once the assessment is complete we will discuss our findings, answer any questions, discuss a treatment plan, co-create goals and set a recommended appointment schedule tailored to maximize your progress.

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Do I need a referral for Physical Therapy?

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Colorado is a direct access state which means you have the right to obtain services from a Physical Therapist without a referral from your doctor. However, many insurance companies do require a referral to reimburse you for our physical therapy services. We may recommend you to see your physician or other health care specialist prior to your first treatment session. We believe in coordination of care and are happy speak with your doctors and provide them with your evaluation report and progress updates. Discuss your Pelvic Floor | Orthopedic | Perinatal | CranioSacral condition with your doctor and recommendation for referral.

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How many Treatment Sessions will I need?

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The etiology of certain pelvic floor and orthopedic conditions can be multifactorial and complex. Patient presentation and treatment response is also highly unique and individual. Because of this, the number of sessions needed to resolve any particular condition will vary widely. At Evoke, our treatment programs are specifically designed to efficiently and effectively maximize your progress and are tailored to best suit your needs. This question will be discussed with you, determinant of your evaluation, treatment response and program compliance.

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What to expect at your Pelvic Floor Treatment Session?

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A typical pelvic floor treatment session lasts from 45 minutes to an hour, and takes place in a quiet, private setting. At the beginning of each session we will discuss your progress, response to treatment and answer any questions you may have. Treatment programs for our patients differ and may include a variety of internal and external manual therapy techniques, biofeedback, bladder and bowel retraining, dilator training, pelvic floor retraining (relaxation, coordination and strength), visceral mobilization, craniosacral therapy, stretching, core training, posture, breath and body awareness and patient education. We will provide you with a progressive home exercise program with specific recommendations and monitor your progress each visit. Treatments are performed in a closed door treatment room and gowns are provided for comfort and privacy.

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What is Biofeedback?

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Biofeedback is a surface electromyography device used to monitor muscle activity. Physical therapists can use this tool for evaluation or training of the pelvic floor muscles for a variety of muscle dysfunctions including weakness, tension, incoordination and pain disorders. Biofeedback can be used either with external or internal sensors. Internal sensors are approximately 2 inches long and shaped specifically for vaginal or rectal use dependent on your condition. Only external sensors (stick on like stickers) are used for the pediatric population. Sensors are connected to a computer and provide visual feedback to help patients learn how to strengthen or relax their pelvic floor muscle in order to improve bowel or bladder function or decrease pelvic floor pain. For our kids we have fun interactive game based programs. Biofeedback can be performed in the office or rented for home use as per your therapist’s recommendations.

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Do you offer Out of State Services?

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For our out of state Pelvic Floor Physical Therapy patients, first, visit your doctor or health care specialist to rule out any medical condition. We will coordinate with them directly to discuss your care and diagnosis. We will educate you accordingly and are happy to see you in our Centennial office or offer our assistance in finding the right physical therapist local to your area. For our patients who would like to travel to us, we offer daily extended office sessions for the length of time of your stay. Your program will consist of evaluation, treatment, educational training, home exercise program, partner training, plan or care, follow up treatment and phone consultations. We also offer out of state services for Health Coaching and Reiki.

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Do you offer Phone Consultations?

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Yes! We are always available by phone for any of our services at Evoke. We developed our out of state phone consultation program to meet the needs and reach of all our clients.  Health Coaching sessions are available as well in 30 and 60 minute sessions.

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What Training do you have as a Physical Therapist?

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Physical Therapists are highly educated and State Licensed Professionals.  Sandra received her physical therapy education through the State University of New York at Buffalo and graduated with a Bachelor of Science in Physical Therapy in 1997. She has been a licensed Physical Therapist since 1997. Her Colorado State License Number is PTL.0012994. Her physical therapy continuing education has focused on manual therapy of the spine, orthopedics, pelvic girdle, pelvic floor and craniosacral systems. She has owned and operated a private practice since 2003. Her holistic based practice specializes in Pelvic Floor Physical Therapy, Manual Orthopedics and Sports, CranioSacral Therapy, Reiki and Health Coaching.
Read More on Sandra's Education.

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What Training does a Reiki Practitioner have?

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Sandra LaBella, PT, CWHC received her training from Master Teacher, Reece Leonett, MA and became a certified Reiki Master in 2015. Sandra has Certifications in Usui Shiki Ryoho Reiki Training 1st, 2nd and 3rd Degree. Reiki is considered a complementary and alternative health care service and is not a licensed, certified or registered profession by the state. Reiki does not fall under the scope of practice of Physical Therapy; Reiki is practiced separately as a complementary and alternative health care service. Reiki is not intended to replace your health care physician, nurse or other licensed medical professional. Reiki should not substitute any prescribed medical program from your licensed medical professional. We believe in coordination of care and are happy to consult with your health care team to further support your care. Please read our Website Disclaimer for details and our Notice Of Privacy Practices regarding your protected health information.

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What to Bring to your First Reiki Appointment?

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As a part of our quality assurance program, we require our new clients to fill out our Reiki Forms Packet. This is an important time for us to really get to know you. Please arrive 20 minutes prior to your scheduled appointment. Our Notice of Privacy Practices will also be attached. You may keep a copy for your records, find it on our website or obtain a copy at our Centennial office.

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What Training does a Wellness and Health Coach have?

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Sandra LaBella, PT, CWHC received her training through Real Balance Global Wellness Services, Inc. and received her Wellness and Health Coach Certification in 2015. Wellness and Health Coaching is not a licensed, certified or registered profession by the state. Wellness and Health Coaching is a supportive relationship designed to facilitate the development of an individual’s well life vision and plan towards achieving those goals. Wellness and Health Coaching does not fall under the scope of practice of Physical Therapy; Wellness and Health Coaching is practiced separately as a complementary and alternative health care service. A Wellness and Health Coach is not a health care professional such as a psychotherapist, social worker, registered dietitian, nurse or doctor and is not intended to replace any licensed health care medical licensed profession. We believe in coordination of care and are happy to speak with your health care team to further support you. Please read our Website Disclaimer for details and our Notice Of Privacy Practices regarding your protected health information.

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What to Bring to your First Health Coaching Appointment?

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As a part of our quality assurance program, we require our new clients to fill out our Wellness and Health Coaching Forms Packet. Please arrive 20 minutes prior to your scheduled appointment or we can mail you a copy. Please take your time to fill it out completely and bring it with you to your first appointment, return mail it to Evoke Physical Therapy and Wellness Center, LLC, 6884 S University Blvd, Centennial, CO 80122 or fax it to 303.220.7837. Our Notice of Privacy Practices will also be attached. You may keep a copy for your records, find it on our website or obtain a copy at our Centennial office.  Your first Coaching session will be 60 minutes long.  This is an important time for us to really get to know you. We offer in-office sessions or phone consultations either, 30 or 60 minutes in length.  Fees vary by session type, please contact our office for details.

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Will Insurance reimburse me for your Services?

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Generally, Physical Therapy for an injury or condition is a covered service by insurance; this may vary dependent on specific insurance plan coverage. Most insurance companies do not reimburse for Reiki and Wellness and Health Coaching; most insurance companies do not reimburse for any non-injury or non-condition Physical Therapy service such as exercises programs to stay in shape or an enjoyable craniosacral treatment. We do not participate with any private insurance plans. It is your responsibility to call your insurance to verify your coverage for the services we provide. We are happy to assist you in any way we can. If your insurance requires additional information please let us know how we can help. If you would like some additional assistance on how to verify your coverage, please call us or stop by our Centennial office; we have available a sample insurance verification questionnaire which may assist you further. Again, it is up to you to call and understand your benefit coverage.

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Do you accept Medicaid Insurance?

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No, we do not participate with Medicaid Insurance.

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Do you accept Medicare Insurance?

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Yes, we accept Medicare Insurance.

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Do you offer Gift Certificates?

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Yes, we offer gift certificates for all of our wellness services including Physical Therapy, Craniosacral Therapy, Reiki and Health Coaching.  Gift Certificates are available for purchase at our office. What a great way to show your loved one you care!

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Favorite Links and Resources

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Favorite Links and Resources

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Helpful Forms

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we help to empower you - evokeNotice Of Privacy Practices

we help to empower you - evokeInsurance Verification Help Form

we help to empower you - evokeEvoke Prescription Form

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Where is your Office Located?

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Evoke is an independent practice located within the SouthGlenn Plaza, Suite 227. We are directly across from The Streets at SouthGlenn Mall, just minutes away from CO-470! Our office is centrally located to all south-metro areas including Highlands Ranch, Littleton, Lone Tree, Parker, Greenwood Village, Cherry Hills Village and Denver!

pink swirl plain lgEvoke Physical Therapy and Wellness Center, LLC

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2305 E Arapahoe Road, Suite 227
Centennial, CO 80122

 303-475-6252