made2movetherapy4kids.com
made2move: therapy4kids, PLLC
 
 
Providing Occupational Therapy
in your home
For more information 713-254-5541
 
 
 
 

thank you for choosing made2move:  therapy4kids.

Your child's pediatrician or physician will need to make a referral for therapy.   The referral/intake form can be downloaded and taken to your child's physician for the therapy order to "evaluate and treat".  There is a place for the  physician to sign and date.  

Click here to download  - Referral / intake form

 

When you schedule your child's initial evaluation, we can mail the intake packet to you or you can download the forms by clicking on the links.   The intake forms will need to be completed prior to the evaluation time so the scheduled time can be devoted to evaluating your child.   

Click here to download -  Intake:  Child History Form   Intake:  Child History Form Spanish

Click here to download - Intake:   CHF All about me page 1

Click here to download - Intake:   CHF All about me page 2

 

When your child is referred for therapy at made2move:  therapy4kids, there is a verification of benefits that is required.   The Insurance benefits worksheet helps you know which information we will be needing to obtain funding authorization in a timely manner.  

Click here to download - Insurance benefits worksheet

 

If your child has been receiving therapy from another agency, the transfer of services form will need to be completed before our facility can verify benefits.  

Click here to download - Transfer of Services Form

 

Thank you for your cooperation and assistance.