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.
Contact your child’s doctor to request a prescription stating “evaluation and treatment” to bring to the initial evaluation. A doctor’s prescription is required in order to evaluate a child for therapy services.
In addition, please print and complete the intake questionnaire, patient registration form and patient services agreement below to bring to your first appointment. The HIPPA notice of privacy practices is for your review only. Completed forms may be faxed to 847-378-4615 prior to your appointment.
Our team of therapists can’t wait to meet you!