BOOST Kids, LLC
BOOST Kids, LLC
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    • Home
    • Occupational Therapy
    • Speech Therapy
    • Therapists
    • FAQs
    • Photo Gallery
    • BOOST Boxes!
    • Intake Forms
    • Group Classes

  • Home
  • Occupational Therapy
  • Speech Therapy
  • Therapists
  • FAQs
  • Photo Gallery
  • BOOST Boxes!
  • Intake Forms
  • Group Classes

Welcome

Please find PDF versions of all of our intake paperwork below. All paperwork is required to be completed and returned PRIOR to your child’s first appointment at BOOST Kids. Email completed paperwork to office@boostbirmingham.com with subject: "Intake" or fax to 205.205.7171

Thank you!

Intake documents - to be completed and returned!

Initial intake form (pdf)Download
Contact & Insurance information (pdf)Download
UPDATED Attendance Policies (pdf)Download
Responsible Party intake (pdf)Download
Credit card authorization - BOOST Kids (pdf)Download

Insurance verification of benefits guide

Please use this tool to understand your insurance plan's coverage details for occupational and or speech therapy services in an outpatient office setting. Payment of all rendered services are the responsibility of the patient's Responsible Party.

Insurance Benefits Verification Guide (pdf)Download

Notice of Privacy Practices

Notice of Privacy Practices (pdf)Download

Copyright © 2019 BOOST Kids - All Rights Reserved.


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