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
If your child has previously received therapy at another facility, we are happy to review those evaluation results to see if supplemental assessment is required or if the results provide adequate information for treatment to begin. Existing speech, occupational or physical therapy evaluations must be less than 12 months old for primary insurance and less than 6 months old for all Medicaid patients.
- Kid’s Creek Case History Form – Download Case History form (.pdf)
- Financial Policy Agreement – Download Agreement (.doc)
- 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*
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.