Welcome to Kids Place Therapy Services! We are eager to work with you to help your child reach his/her potential. General information about how to get started is provided below.
We are an in-network provider for Blue Cross Blue Shield of Illinois PPO. We accept other insurance plans, including United Health Care, Aetna, Cigna and Tricare, and private pay. Additionally, we provide services through Early Intervention, an agency run through the state of Illinois, that provides services for children birth to three years of age. Pre-authorization and filing of insurance claims are services we provide.
Upon contacting Kids Place Therapy Services, we will be happy to speak with you about your child and answer any questions you may have. In order to schedule an initial evaluation, your insurance information is required, if applicable, to verify benefit coverage and obtain any preauthorization required. In addition to a copy of your insurance card, the initial paperwork is required to be completed and submitted. Please download and fill out the following three forms:Download Intake Questionnaire Download Patient Registration Form Download Patient Services Agreement
Please also note our HIPPA Notice of Privacy Practices document:HIPAA Notice of Privacy Practices
Prior to scheduling an evaluation we require the following documents:
- A signed prescription from your child’s doctor dated within the last 6 months noting “Occupational Therapy Evaluation and Treatment”.
- Completed forms from above
- A copy of your insurance card (front and back) *May be provided at initial evaluation
We will use your insurance information to verify benefit coverage and obtain preauthorization.
We are happy to help you with the pre-evaluation process. Please contact us with questions. Completed forms may be uploaded or faxed to 847-378-4615.Upload Completed Documents
During the evaluation we will ask questions based on your submitted information and complete assessments to better understand your child. We focus on minimizing your child’s stress. Many children report that the evaluation was fun!
We will discuss our impressions and therapy recommendations at the end of the evaluation. A final report will be mailed or provided to you.