Pediatric Occupational Therapy
Child Intake Form
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Price: $50.00
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We are in-network with BCBS PPO and Macomb County Community Mental Health. We are also a certified non-network provider for Tricare. 

As a curtesy, we will submit billing to out-of-network PPO plans but payment is due at the time of service. 

We cannot bill to HMO plans or Medicaid plans. Please contact the office for cash prices. 

Primary Insurance

Secondary Insurance

Please complete this form to the best of your ability so we can determine the proper evalautions to administer. We will be in contact within one business day to schedule an evaluation. 

Pediatric Occupational Therapy
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