Forms

Below is the list of forms and explanations for each form that is required for services from Today’s Therapy Solutions.

For Windows and Mac users, click on the download link below and then select “Save File”. File name will be 2016 Client Forms.zip.

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  • Client Information Form – Medicaid/Soonercare: This form will help process a claim for those that have Insurance and or Medicaid/Soonercare.¬† Please have the Medicaid/Soonercare policy number to complete this form.
  • Client Information Form – Insurance Only (In-Network) or Self Pay (Not In-Network): This form is for clients that have insurance or that wish to pay for our services completely out of pocket. If you are unsure that your insurance company is not within our network, please contact us.
  • Authorization to Release an Individuals Health Information (Send): This form authorizes Today’s Therapy Solutions to release an Individuals Health Record
  • Authorization to Release an Individuals Health Information (Receive): This form authorizes Today’s Therapy Solutions to receive an Individuals Health Record
  • Consent for Evaluation and/or Treatment : This gives Today’s Therapy Solutions¬† authorization to provide qualified diagnostic procedures, care or treatment to such individual referenced on this form.
  • Notice of Privacy Practices Consent :¬† This gives Today’s Therapy Solutions consent in that we may use or share health record information.
  • Notice of Privacy Practices (TTS): This notice describes how medical information about a client may be used and disclosed by and how you can get access to this information. PLEASE READ THIS NOTICE CAREFULLY.

 

New Clients

Whether you are a family member looking for services or a healthcare professional trying to find services for a patient, we are here to help.

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About Us

Today's Therapy Solutions is committed to providing up to date research based services to support families who have children with disabilities.

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Our Services

At Today's Therapy Solutions, we provide a range of services to meet your child's needs. Our services include home based and clinic based.

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Our Location

Today's Therapy Solutions is conveniently located on North May Ave and 57th in North Oklahoma City.

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Helpful Resources

At Today's Therapy Solutions, families are our priority. We strive to help families be as successful as they can in their community.

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