Referral Programs:
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- Complete our Referral Form below or contact our clinic.
- Our staff will obtain a physician’s signed request for an evaluation for treatment.
- Insurance benefits will be verified.
- Client’s caregiver/parent will be reached by phone to schedule the initial visit.
- After the initial visit for an evaluation, the evaluating therapist will recommend the frequency of services and assist the family with scheduling appointments
Please let us know how we can help you! Fill out the form below and we will contact you shortly.
- Please provide signed orders for an evaluation and ongoing treatment.
- Our staff will verify insurance benefits.
- Client’s caregiver/parent will be reached by phone to schedule a phone or in-person intake.
- After intake and insurance verification, the office scheduler will call to schedule an inital evaluation.
- Based on the results of that evaluation, ongoing therapy sessions and frequency of services will be recommended.
- The therapist and office staff will assist the family with scheduling appointments.
Download, print, and fill out the Physician’s Referral Form.
You can also complete our online form below.
You may also fax your own referral form to our office at 928-212- 9014. Please note: If you choose Prescott Valley location, we do not offer OT services at that this time.