DO NOT USE Occupational Therapy Client Intake Form

Occupational Therapy Client Intake Form
Date

MonthDayYear
Date
Client Name*

First NameLast Name
Gender:*
Age:*
Client Date of Birth:*
Preferred location for services (New - Elmwood location is 1520 Kuebel St or Metairie Location is 3329 Metairie Road) *
Will your child be attending any of TLC's day programs?:*

Building BlocksTalkin' Toddlersnone
If so, what is start date and how often will they be attending?*
Parent Name*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone:*

Area CodePhone Number
Home Phone number:

Area CodePhone Number
Email:*

Confirmation Emailexample@example.com
Referred to our clinic by?*
Child's primary care physician:*
Phone Number:

Area CodePhone Number
Emergency contact:*

First NameLast Name
Phone Number:

Area CodePhone Number
Relationship with Client:
Email:*
example@example.com
Diagnosis (Please indicate any medical diagnosis or medical condition below):
Reason for visit today and personal goals/main concerns you'd like to see improvement:*
What is your preferred availability?

Guarantor Information
Guarantor:

First NameLast Name
Date of birth:

MonthDayYear
Date
Relationship with client:
Social security number:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer:
Insurance Information
Name of Insured:

First NameLast Name
Date of birth:

MonthDayYear
Date
Social Security Number:
Employer:
Health Insurance*
If your insurance is not listed on the drop-down menu, you should select Private pay, and you will be charged accordingly.
Policy/Member ID#:
Group#:
Provider Service#:

Area CodePhone Number
Please upload a copy of the front and back of your insurance card.

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Insurance Card Cancelof
Please upload a copy of your driver's license. *

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Driver's License Cancelof
Please upload a copy of the doctor's prescription for Occupational Therapy services.

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Driver's License Cancelof

Feeding
Did your child have any feeding problems as an infant? Please describe:*
Was your child bottle or breastfed and for how long?*
Did your child have colic or reflux issues? Please describe:*
Is your child a picky eater? If your answer is Yes, please fill out the feeding history intake form.*
Current Diet tolerated:*
Hearing:*

IntactImpairedAidQuestionable
Vision:*

IntactImpairedAidQuestionable
Has your child had any ear infection? How frequently?*
Have they had their hearing tested? What were the results?*
Does your child wear hearing aids?*
Does your child have a vision impairment/wear glasses?*

Medical information
Does your child have any allergies? Please list:*
Please describe illnesses, medical complications, or hospitalizations that your child has had and when:*
Surgeries, if yes, please explain:*
Any other helpful information about your child that is important for us to know:*

Consent and Policies
I give permission for photographs/video of my child to be used for treatment, education, documentation, advertising, brochures and/or webspace:*
I hereby give Therapeutic Learning Center, LLC permission to evaluate and treat my child, and understand there will be written, oral, and electronic communication between care providers/physicians, insurance companies. Certification or licensing and quality assurance may review my child's records. I understand that all practices of confidentiality will be followed within use of the information gathered.*
I give Therapeutic learning Center, LLC permission to submit bills directly to the insurance carrier.*
Permission Slip, Indemnification, Medical Agreement and Grant of Rights

I hereby confirm that I am allowing my child to participate in the Therapeutic Learning Center, LLC’s (“TLC”) Clinic ("clinic"). I understand that the clinic is completely voluntary. My signature below is an acknowledgement of voluntary consent to allow my child to participate in this clinic. I agree to indemnify and hold harmless TLC Group from and against any and all claims, demands, expenses, losses and liability arising out of personal injuries or death to any person or the damage, loss or destruction of any property which may occur or in any way grow out of any act or omission by my child or any and all costs, expenses and/or attorney fees incurred as a result of any claims, demands, and/or causes of action, through, or under my child which may arise as a result of his or her participation in the clinic.

If any emergency medical procedures or treatments are required during the clinic, I hereby consent to the staff of TLC’s clinic, arranging for, or consenting to the procedures or treatment in his, her, or their discretion. The only time a decision will be made in regard to serious illness or accident will be when extenuating circumstances prevent direct contact with parents/guardians regarding the matter.

By signing a copy of this agreement, I hereby acknowledge and agree to the above terms, including the PERMISSION SLIP, INDEMNIFICATION, MEDICAL AGREEMENT and GRANT OF RIGHTS. I have reviewed and read this agreement. The terms and conditions were explained to me in full, and I understand its terms and conditions. I have been given ample opportunity to review this agreement with an attorney of my choosing. My signature below is voluntary. I further certify that I am of full legal capacity to execute this authorization.

The Undersigned expressly agrees that the foregoing Release, and Indemnity Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Louisiana and that if any portion or portions thereof shall be held invalid, it is agreed that said portion shall be severed from this Agreement and the balance shall, notwithstanding, continue in full legal force and effect.
I have read and agree to follow Therapeutic Learning Center, LLC Permission Slip, Indemnification, Permission Slip, Medical Agreement and Grant of Rights. *
Signature

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Payment Policy

Please Read This Carefully

I understand that I will be charged a LATE CANCELLATION fee of $25 if I fail to give at least 24- hour notice prior to canceling my appointment. If a make-up session is scheduled within the same week, this fee will not apply.

I understand that I will be charged a LATE CANCELLATION fee of $35 if I cancel within 4 hours of my appointment time.

I understand that I will be charged a NO-SHOW fee of $50 if I fail to show for my appointment.

I understand that I am responsible for knowing my co-payment amount and deductible amount.

I understand that if insurance information is not available or you do not have insurance, payment is due in full unless other arrangements have been approved by the administration.

As a courtesy to our clients, we will verify and file your insurance; however, this is not a guarantee of coverage or payment. We strongly suggest that you read your policy manual as it pertains to therapy coverage. Many insurance companies have stipulations, such as usually & customary fees (UCR), limited therapy sessions, limited reimbursable amounts per session, deductibles, co-payments, supplies, etc. Such stipulations should be indicated in your policy manual. YOU ARE RESPONSIBLE FOR AMOUNTS NOT COVERED by your insurance.

I understand that my child’s weekly appointment time will not be guaranteed if payments are not received for services within 7 days of the date of service. This applies to children seen at the clinic and at school.

I understand that Therapeutic Learning Center has the right to discharge my child if payment for service is not received timely. Payment for services is expected following each session or at the time of service.

I understand that if payments are received past 30 days from the date of service, a $10 late fee will apply. If payments are received 45 days or more from the date of service, a $20 fee will apply. Any balance 60 days or more will be turned over to an outside collections service.

If collections services or an attorney is employed to collect payments due, I will also be responsible for interest and expenses, including but not limited to costs and attorneys’ fees.

I understand that I will be charged a $20 out of office fee if my child is seen outside of the therapy clinic such as school or daycare.

I understand that it is my responsibility to notify my child’s therapist if my child is not at school or daycare when the therapist is scheduled to see your child. A no-show fee will be charged if your child is not at school or daycare and the therapist was not notified.

I understand that I will provide the office with a credit card to keep on file for payment when my child is seen outside of the therapy clinic such as school or daycare.

Signing below indicates you understand and agree to the terms of this policy.
Signature

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12 Week Therapy Session Duration/No-Show/Cancellation Policy

Please read this carefully.

12 Week Therapy Session Duration

We provide therapy in 12-week intervals. At the end of 12 weeks, you will meet with your therapist to discuss your child’s progress, attendance (see below for the 75% attendance requirement), and together, determine whether continued services will benefit your child.

No-Show/Cancellation

We realize that emergencies and other scheduling conflicts arise and are sometimes unavoidable; however, advance notification allows us to fulfill other client’s scheduling needs and keeps the clinic operating at its most efficient level. Due to our one-on-one 30, 45 & 60-minute treatments, missed appointments are a significant inconvenience to your occupational therapist, the clinic, and other clients. For the benefit of our clients and to optimize our therapist’s time, advanced notice for cancellations is requested.

We reserve your child’s therapy appointment times on a one to one basis. As a clinic policy, we do not double-book our clients so that we may provide optimum treatment for all our clients. We require 24-hour notice for all cancellations as it allows us to place another client in your canceled appointment period to receive needed treatment. If the appointment is not canceled outside of 24-hours, your appointment will be considered a “no show” and a $50 no show fee will be reflected on your account. We require a 75% attendance rate to keep your weekly appointment time. If the appointment can be rescheduled within the week, the missed appointment will not count against your attendance rate. We will allow for one “pass/missed appt” if the appointment is not canceled outside of the 24 hours if your child is sick and missing the appointment is unavoidable.

After missing two consecutive appointments without notice or if you fail to maintain the 75% attendance rate, we reserve the right to place your child on a “stand by list” and services will be placed on hold or discharged.

Thank you for providing our office and our clients with this courtesy. Signing below indicates you understand and agree to the terms of this policy.
Signature

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Date

MonthDayYear
Date
Should be Empty:

Occupational Therapy Client Intake Form

Guarantor Information

Insurance Information

History

Feeding

Medical information

Consent and Policies