Complete our new patient forms and review our policies and procedures
Please complete this form on the day of your child's first appointment.
After your first appointment, our office team will email a link for you to set-up your Patient Portal. Here is a link to Therabill, where you can log-in to the Portal.
Please complete our secure online registration forms prior to your first appointment.
[Included in Registration Forms] Please complete this form to grant permission for our team to post photos of your beautiful child on our website and/or social media.
[Included in Registration Forms] If you would like for our team to contact another professional to discuss your child's healthcare, please complete this permission form.
Please complete this form prior to your first appointment.
Evaluations are typically 45 to 90 minutes in length. A complete report will be prepared and is included in this fee. For those with a non-contracted insurance company, half of the fee for an evaluation must pay prior to the evaluation. The other half will be invoiced with the report.
Sessions are typically 30-55 minutes in length. We ask for parents/guardians to enter the treatment room during the final 10-15 minutes of the session with the therapist to discuss your child’s progress. Please keep a cell phone with you for emergency contact if you leave Pediaprogress’ facility while your child is in a session.*Please answer yes or no to the following:
Treatment plans are provided for patients every six months.
Re-evaluation of your child’s skills is required after six to twelve months of sessions. Accurate test scores will allow our therapists to provide the most effective treatment and set appropriate goals.
A cancelled or missed therapy session may be billed to you. This fee is NOT billable to insurance.
We do NOT guarantee your child's weekly or bi-weekly appointment time will be reserved, if he/she misses more than TWO CONSECUTIVE WEEKS. If you need to take an extended break from therapy, please contact us at least one week prior to your return and we try our best to schedule your child's therapy in a convenient time for you. Your child may need to be placed on a waitlist.
If your child has a 20% or greater cancellation rate and you are not able to make up missed sessions on other days offered, we will ask you to take a break from therapy until your schedule allows for more consistency.
Any communication outside of a therapy session with your child's therapist via telephone, email and /or texting will be billed at a rate of $40.00 for every 15 minutes. This fee is not billable to insurance and must be paid within 30 days.
You may request a team member from Pediaprogress to attend a meeting at your child’s school. It is our discretion if a team member attends a meeting. Payment is required in advance for staff from Pediaprogress to attend any meetings and is billed at our current therapy rate.
Please contact us at 630.929.0122 with questions regarding Pediaprogress’ policies and procedures.
1101 W. 31st ST suite 110 Downers Grove, IL 60515 | serving lombard, westmont, clarendon hills, lemont, lockport, bolingbrook, woodridge, hinsdale, wheaton, glen ellyn, darien, lisle, oak brook, oak brook terrace, romeoville, westchester
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