Paperwork
This list helps you track onboarding and ongoing paperwork requirements. All of these links will take you to a secure, HIPAA compliant Jotform for completion.
Documents that you provide:
These are records you already have that you upload or submit through secure links. Sometimes a provider's office or outside organization may have these. You can always call and ask them to fax the records to us! Our fax number is 620-206-2514.
ROIs:
A Release of Information (ROI) allows Born to Blossom to communicate with other providers involved in your child’s care. This coordination helps ensure services are aligned, safe, and effective.
We only share information that is necessary and permitted.
We require a pediatrician's ROI so we can coordinate care. We also need the client's insurance plan ROI before we can communicate with them to authorize services and bill them.
Occasionally, we may as for a general ROI to be completed with a specific outside organizations information such as an SLP, therapist, or school so that we can coordinate care.
Select only your child's insurance plan(s) from the following options to complete.
Contracts:
These forms outline how services are provided, ensure safety, and explain your rights. You have to complete these yearly.
This short survey helps us learn more about your child’s interests, motivators, and preferences so we can make sessions engaging and meaningful.