Getting Started
Checklist

Getting Started

Thank you for choosing Kid's Creek for your child's treatment needs. In this section, you will find a confidential case history form, our business policy/financial agreement, and our privacy policy. Prior to our first visit we need some additional information from you. Listed below is a checklist of the things that we need from you. You may drop these items off at our office or mail them to us.

Your child's file must be complete with all items prior to starting therapy.

Getting Started Checklist

		Prescription from your child's primary care physician with ICD-9 code and frequency of visits
		Current Evaluation Speech, Occupational therapy, or Physical therapy, less than 12 months old.
		Kid's Creek Case History Form (Please contact Kid's Creek for access to this from)
		Kid's Creek Privacy Policy (Please contact Kid's Creek for access to this from)
		Insurance Information Please copy the front and back of your primary and any secondary insurance
		Medicaid Information A copy of Medicaid card and a copy of the current months eligibility form*
		Preauthorization Please check with your insurance company to see if they require preauthorization **

* Medicaid Information: Traditional Medicaid or Deeming Waiver
** Preauthorization: If preauthorization is required, you will need to go through this process prior to beginning therapy.

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