Getting Started

In order to begin services,  PPT requires the following documentation and forms:

  • Prescription for OT Evaluation from your MD which we will obtain
  • Copy of the front and back of insurance card
  • Copy of current IEP or IFSP
  • Most recent evaluations
  • Prior approval from Insurance, CMO, or Medicaid
  • the forms below filed out
  • Once the appointment is set, your child will be evaluated with a standardized test
  • a report will be written and sent to the md for hiss approval. this is the Physicians plan of care and letter of medical necessity. then prior approval if needed will be obtained before therapy can begin.
  • Medicaid and most insurances require a prior approval for services every 6 months if you want more than 30 mins a week. 
  • They require a new evaluation and prescription which our office takes care of.

forms

attendence policy (pdf)

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Authorization for Use (pdf)

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Authorization to Discuss Patient Information (pdf)

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Billing Agreement (pdf)

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Client History Form (pdf)

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Evaluation Explanation (pdf)

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evaluation report (pdf)

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Hippa (pdf)

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INFECTION CONTROL (pdf)

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Mission Statement (pdf)

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Notice of Privacy Practices (pdf)

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Parent Attestation Regarding IEP (pdf)

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Payment Awareness Notification (pdf)

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Photo Release (pdf)

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QUESTIONS TO ASK YOUR INSURANCE CARRIER BEFORE YOUR APPOINTMENT (pdf)

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