Insurance and Payments
Please call us and we can guide you through the insurance-verification process. We can help determine if referrals or pre-authorizations are required. We are currently providers for the following insurances: Anthem, Medical Mutual of Ohio, and Tricare.
At this time, we do not accept United Healthcare, Humana, Medicaid, Medicare or other state-funded insurances. Funding for services may also be available through family resources in your county. Local and national grants are also accessible. Call our office for further information - we are happy to assist you.
Helping You Find Resources
We are dedicated to helping you find alternative funding sources for which may qualify.
Ms. Kim at the front desk has a wealth of information about local programs, scholarships, and grants that may apply to your unique situation.
Some alternate funding sources include:
- Jon Peterson Special Needs Scholarship Provider (Link to info)
- United Healthcare Children's Foundation
- Miami Valley Down Syndrome Association
- Greene County Family Resource Funding
- Other local and federal grants
Forms of Payment
We accept cash, check, Mastercard, Visa, and Discover for payment of therapy services.
We appreciate the opportunity to make payment as convenient as possible for you.
Forms to Get Started
Please download, print, and complete the following documents prior to your first appointment.
Provides important background information about your child, including complete medical history and developmental history.
Discusses important Therapy Connections policies and provides authorization for our team to evaluate and/or treat your child.
Important information about our policy for missed, late, and cancelled appointments due to various circumstances.
Agreement for how any disputes or controversies will be handled between Therapy Connections, LLC and patient and/or patients' parents or legal guardians.
Authorization to release medical records, testing, and other information necessary to provide treatment to your child.
Provides us with a complete list of your applicable insurance so that we may appropriately handle any billing.
For orthopedic therapy cases, provides complete medical history pertinent to therapy services.
Other Specialty Forms - Only if your therapist asks you to complete:
Provides feedback on how your child responded to our Therapeutic Listening Program.