NEW PATIENTS
Before scheduling an initial evaluation, you will need to complete a New Patient Packet. You can complete these forms online by clicking the appropriate link, download the forms below or you may call our office or email us at frontdesk@therapyspotmi.com to request to have these forms mailed, faxed, or emailed to you. The completed forms can be dropped off at our office, mailed, or faxed to us. Please do not email these forms, as they may contain sensitive information.
NEW! COMPLETE FORMS ONLINE
New Patient Intake Form (required)
New Patient Intake Form- ADULT (required for adult patients)
Sensory History Questionnaire (optional)
Feeding & Mealtime Assessment (optional)
Behavior & Regulation Checklist (optional)
Speech & Language Questionnaire (optional)
Stuttering Questionnaire (optional)
DOWNLOAD FORMS
New Patient Intake Form (required)
New Patient Intake Form- ADULT (required for adult patients)
Sensory Checklist (optional)
Food Range Mealtime Assessment (optional)
Behavior & Regulation Checklist (optional)
Speech & Language Questionnaire (optional)
Stuttering Questionnaire (optional)
Upon receiving the completed intake forms, you will be contacted to schedule an evaluation. If you have any questions, please do not hesitate to contact us.
INSURANCE COVERAGE & PRICES
We currently accept the following insurance plans:
Blue Cross Blue Shield
United Healthcare
Blue Care Network
Blue Cross Complete
Priority Health
CIGNA
AETNA
Cofinity
McLaren
Medicaid (as a secondary insurance)
If we are not a participating provider for your insurance we will bill out of network, if possible. If you have questions call our office at (248) 893-6192.
Additionally, we offer competitive private pay rates. Please call our office to inquire.
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