Patient Information
    Patient's Name:
    Phone*:
    Alt Phone:
    Email*:
    Reason for Referral
    Primary Language of the Patient
    Any other languages spoken in the home (please list)?
    Does the patient present a speech-language, nutritional, fine motor, feeding, swallowing, weight, sensory, or hearing concern (please explain)? Does anyone in the family have similar concerns (please explain)? Is the patient currently receiving any other therapy in the community (what type and where)? How does the patient usually communicate (gestures, single words, short phrases, sentences)? When was the problem(s) first noticed (by whom)? Is the patient aware of the problem(s)? If so, how do they feel about it? Medical History Has the patient had any surgeries or diagnostic tests? If so, what type and when? Describe any major accidents or hospitalizations. Is the patient taking any medications? If so, please identify. Family History If applicable, please list any family members with the following diagnoses.
    Autism:
    ADHD:
    Bi-Polar Disorder:
    Depression:
    Schizophrenia:
    Anxiety:
    OCD:
    ODD:
    Other:
    Has the patient experienced recent physical/emotional trauma or major life changes (divorce, deaths, moving, etc.). If so, please explain. Patient's Strengths and Weaknesses Top 3 goals/areas you would like to see change or improve for the patient over the next 6 months
    Person Completing Form:
    Relationship to Patient:
    Patient Name:
    Preferred Name:
    Date of Birth:
    Sex:
    Cell Phone:
    Work Phone:
    Address:
    City:
    State:
    ZIP:
    Driver's License Number:
    Appointment Availability (days): Appointment Availability (time):
    Emergency Contact:
    Emergency Contact Phone:
    Best time to contact me: Choose appropriate option for patient: If student,
    Does Not Apply
    Name of School:
    City/State:
    Does the patient receive therapy services in the school system?
    Has the patient received therapy services at another clinic?
    Primary Physician Name:
    Primary Physician Number:
    Referring Physician Name:
    Referring Physician Number:

    Insurance Information Relationship to Patient
    Name:
    Phone:
    Address:
    City:
    State:
    ZIP:
    Email Address:
    Social Security Number:
    Employer:
    Primary Insurance
    Name of Policy Holder:
    DOB:
    Name of Employer:
    Work Phone:
    Insurance Company:
    ID Number:
    Group Number:
    Insurance Company Address:
    City:
    State:
    ZIP:
    Insurance Company Phone:
    If you have any additional insurance, please complete the following secondary insurance information. Secondary Insurance
    Name of Policy Holder:
    DOB:
    Name of Employer:
    Work Phone:
    Insurance Company:
    ID Number:
    Group Number:
    Insurance Company Address:
    City:
    State:
    ZIP:
    Insurance Company Phone:
    I understand and agree that regardless of my insurance status, I am ultimately responsible for the balance of my account for any professional services rendered. If for any reason any portion is not paid for by my insurance, I agree to make arrangements for prompt payments of the account. I have read all the above information and completed the above answers truthfully and correctly. I certify this information is true and correct to the best of my knowledge. I will notify you of any changes in my status regarding the above information.
    Signature:

    Date:


      Illness and Sick Policy
      To maintain a safe and healthy environment for all patients, families, and staff, we ask for your cooperation with the following illness policy. There may be occasions when a patient or staff member becomes ill during the day. If a patient becomes sick while in our care, we will contact you immediately so that arrangements can be made for the patient to be picked up as soon as possible. A patient or staff member will be sent home if any of the following symptoms are observed: 1. Fever of 100°F or higher 2. Unexplained rash 3. Vomiting 4. Diarrhea 5. Symptoms of COVID-19, influenza, or a severe cold, including but not limited to: ◦ Persistent cough ◦ Earache ◦ Eye infections ◦ Thick nasal discharge ◦ Fatigue ◦ Body aches ◦ Headache ◦ Sore throat 6. Conjunctivitis (Pink Eye) 7. Head lice 8. Hand, Foot, and Mouth Disease Attendance Requirement Patients and staff members must not come to the clinic if they have experienced any of the symptoms listed above within 24 hours prior to their scheduled appointment or work shift. If a patient begins experiencing symptoms, please notify the treating therapist as soon as possible so that sessions may be canceled promptly. Return to Therapy A patient may return to therapy and a staff member may return to work only after being completely symptom-free for at least 24 hours, without the use of medication to reduce or mask symptoms. Please sign below to acknowledge that you have read, understand, and agree to comply with this policy. We appreciate your cooperation as we remain committed to providing the highest level of care in a safe and healthy environment.
      Patient Name:
      Date of Birth:
      Signature:

      Date:


        Authorization of Release of Medical Information
        Effective Date:
        I hereby give my consent to to release my Protected Health Information to Southern Therapy Solutions. Information is needed regarding medical care received from to for care received regarding .
        Signature:

        Date:


          Consent Form
          Notice of Privacy Practices
          By signing this form, you acknowledge receipt of the Notice of Privacy Practices from Southern Therapy Solutions. The Notice of Privacy Practices provides information about how we may use and disclose your protected health information. We encourage you to review it carefully. The Notice of Privacy Practices is subject to change. If the Notice is changed, you may obtain a revised copy by contacting our office staff. I hereby consent to and acknowledge receipt of Southern Therapy Solutions Notice of Privacy Practices. I consent that my protected health information be used to provide and coordinate treatment, to obtain payment, and for business operations. I understand that Southern Therapy Solutions Notice of Privacy Practices explains my rights to privacy regarding my protected health information and provides specific information and a complete description of how my health information may be used and disclosed. I acknowledge receipt of the Notice of Privacy Practices from Southern Therapy Solutions.
          Consent to Text
          Consent to Text indicates whether the patient has agreed to receive automated text alerts from Southern Therapy Solutions on their mobile phone. Depending on the features the practice offers, text alerts may be about appointments, test results and more. Please select “I Accept” if the patient agrees to receive automated text alerts. Select “I Decline” if the patient declines.
          Signature:

          Date:


            Credit Card Authorization
            By signing this form, you give Southern Therapy Solutions permission to debit your account for the amount indicated on your monthly statement. This permission is for a once-monthly transaction and does not provide authorization for any additional unrelated debits or credits to your account. I understand that Southern Therapy Solutions requires a valid card to be kept on file as a mandatory condition for all patients, regardless of whether I opt into automatic monthly billing. By checking the signee box below, I acknowledge that even if I do not agree to recurring automatic charges, this card must remain on file to maintain active patient status; however, Southern Therapy Solutions agrees that no charges will be processed against this card without prior customer approval or notification of an outstanding balance.
            Card Type:
            Cardholder Name:
            Card Number:
            Exp Month:
            Exp Year:
            CVV:
            Zipcode:

            I, , authorize Southern Therapy Solutions to charge my credit card account indicated on my monthly statement. This payment is for Speech, ABA, Occupational Therapy or Dietary Services at Southern Therapy Solutions.
            Signature:

            Date:


            Thank you for submitting!

            Your application will be reviewed as soon as possible and we will be in touch.

            If any information requires amending, please take the time now to navigate back to it using the buttons below.

            Leaving this page will finalize the submission.