Patient Info

Patient Info

TERESA RODGERS

Business Office Manager Owner

LISA WAGERS

Physical Therapist Owner

Pediatric Services

Physical Therapy Occupational Therapy Speech Therapy

HOURS OF OPERATION

Mon –Fri
8am – 6pm

**Saturday and Evening hours available upon request**

If you or your family have any questions or concerns, please call us in 812-314-2378.

2625 Foxpointe Drive, Suite A
Columbus, Indiana 47203

A STEP AHEAD PEDIATRIC THERAPY,inc.

 Dear Patient and Family,

Thank you for choosing A Step Ahead Pediatric Therapy. We look forward to a rewarding relationship with you and your child. In order for us to serve you better, we need you to read and complete the following information at the time of your child’s first visit. We will also need proof of your child’s insurance. Co-payments and insurance deductibles are due at the time of service. To avoid a cancellation fee, please give the clinic a 24 hour notice if your child can not make their scheduled appointment. If you or your family have any questions or concerns, please call us at 812-314-2378.

Thank you,

From the staff at “A STEP AHEAD PEDIATRIC THERAPY, Inc.” REMINDER CHECKLIST FOR FIRST APPOINTMENT

___1.  Background questionnaire
___2.  Insurance or Medicaid Card
___3.  Acknowledgement of Receipt of Consumer Policies Form

 

Download these other important forms:

  1. Notice of Privacy Form
  2. Release of Information Form
  3. Assignment of Direct Payment Form
  4. Scheduling Request Form
  5. Intake Form

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