Your Child’s First Appointment

Come Prepared

In order for your child to perform at their best, please make sure your child is well-rested, well-fed and in good health. The first appointment will be a comprehensive evaluation of your child’s fine motor skills, hand/eye coordination, strength, integration of reflexes, visual motor and visual perceptual skills.  

Make sure you've completed all paperwork

While your child is being evaluated, you will need to fill out the following forms. These forms take 45-60 minutes to fill out during your first appointment. Alternatively, you can download them ahead of time and bring them with you:

All of these forms are necessary for us to bill your insurance. If they are not completed, we will need to collect payment at time of service.

Let your child engage independently with the therapist

During the first appointment, the therapist will observe your child’s balance, coordination, ability to plan and organize their movement, and their ability to accept direction. The evaluation will also include the use of specific assessments designed to evaluate your child’s fine motor skills, hand/eye coordination, strength, integration of reflexes, visual motor and visual perceptual skills. The evaluation will allow us to determine your child’s strengths and weaknesses. It is most effective for the therapist and your child if you do not coach or help your child with these activities. You are welcome to observe, but please do not assist.

Formulate a treatment plan

When the evaluation is finished, the therapist will discuss goals with you and determine a treatment plan that will help your child. The therapist will incorporate information from the evaluation along with your goals to develop a plan that will challenge your child. Our goal is to help your child with what occupies them in their daily life, and provide them with tools and support to reach their full potential.

Set up insurance or payment

In most cases, we will bill insurance for you. We bill Medicaid, Denali Kid Care and most insurances including Blue Cross/Blue Shield, Aetna and TriCare. Please bring your child's insurance information to your first appointment. 

We also offer a sliding scale rate for uninsured individuals and we can work with you. Your child's success and development is important to us regardless of your financial situation.

 

Recurring Appointments & Policies

Arrival Time

Please request that you arrive 5 to 10 minutes before the scheduled start time.

To prevent noise, distractions, and overcrowding in the waiting area, please do not arrive more than 10 minutes before your scheduled appointment. Arrival more than 15 minutes past the scheduled start time will be documented as a “no-show” for that particular day.

If are eligible for Medicaid and you need help getting your child to our office, you can use the Medicaid Taxi Voucher Service. Call 907 269-4575 and leave a message the day before the appointment to set up prior authorization payment with Medicaid. Then, the day of the appointment, call Ryder Transport at 399-8888. Your child will be picked up and dropped off where you specify.

When to Cancel

If your child is unable to make it to one of the scheduled appointments, please let us know as soon as possible.

We understand that there are many activities that take place in your life on any given day and that sometimes illness, family emergencies, transportation difficulties, scheduling conflicts, and vacations will necessitate missed therapy sessions.  It is especially important to keep sick children at home so that they can have time to recover, while minimizing the spread of illness to others.  Below is a list of recommended medical reasons to cancel for therapy, but if you have specific questions, please do not hesitate to call.

  • Diarrhea in the past 24 hours
  • Vomiting in the past 24 hours
  • Fever over 100 degrees in the past 24 hours
  • Excessive coughing, sneezing, or runny nose (requiring attention more often than once every 10-15 minutes)
  • Skin rash

Cancellation Policy

If your child cannot make it to a scheduled appointment, please contact our office at least 24 hours in advance. A charge of $25.00 will be assessed for cancellations made without 24-hour advance notice. 

No-Show Policy

An attendance rate of 75% is required for uninterrupted services. As a courtesy, Cirque Therapy, LLC will keep track of this for you. If your attendance rate drops below this rate at the end of a month, your child will be placed on the cancellation list. A charge of $75.00 will be assessed for missed appointments without prior notice, which will be due prior to the next scheduled visit.

Late Arrival Policy

If your child is 10 or more minutes late for his/her scheduled therapy appointment a charge of $10.00 will be assessed to the patient due before the session begins. These charges will not be billed to your healthcare insurance payer and is the responsibility of patient’s parent/guardian to pay. 

Pick-Up

Please make arrangements to have your child transported from therapy within 10 minutes of their scheduled end time (unless a parent/therapist meeting has been arranged for after the session); after this time our staff will be unavailable for supervision in the waiting area.  

Frequent Cancellations and No-Shows

With a limited number of appointment slots available and a large population that can benefit from therapies, consistent attendance is requested.  The following reasons will be enforced for placement on the wait-list: 

  • Three consecutive no-shows (note: late arrivals of 15 minutes or more are counted as no-shows)
  • Less than 50% attendance (counting cancellations and no-shows) UNLESS a prior agreement has been reached
  • Long-term cancellations of greater than 2 weeks without a defined end-point

Wait List

In an effort to best serve our community, we reserve the right to create a “wait-list” that will be utilized for filling available therapy slots.  Children will be placed on the wait list for one of the following reasons:

  • Lack of viable schedule options, especially after initial evaluation
  • Failure to comply with attendance policy
  • Lapse in insurance coverage or other non-payment
  • Long-term medical contraindications (surgery, illness, etc,)

Pick-Up

Please make arrangements to have your child transported from therapy within 10 minutes of their scheduled end time (unless a parent/therapist meeting has been arranged for after the session); after this time our staff will be unavailable for supervision in the waiting area.

Clothing

Please dress your child to allow for comfort and movement.  We encourage appropriately-fitting sweatpants or shorts and shirts.  Dance or gymnastics leotards are also appropriate.  Typically, “school clothes” serve the purpose, but dresses, tight-fitting jeans, excessively loose or bulky clothing and tights are discouraged for safety reasons.

Toileting Accidents

If your child wears diapers, briefs, or pull-ups, please ensure that they are clean and dry upon arrival.  Most therapy sessions last 60 to 90 minutes and a change is not required during this time.  If your child does require changing during therapy, we will usually request that the parent/caregiver take care of this; you can help us by keeping the necessary items with you during therapy times.

If your child is potty-training or prone to accidents, we will make every effort to accommodate the schedule and needs of the individual.  You are welcome to store extra diapers and clothing at the clinic in case of an accident.

Food & Drink

Please ensure that your child is well-fed and hydrated prior to arrival at therapy – we all need to have our basic needs met if we are to function well.  Our therapies may include eating and drinking on occasion (after an especially strenuous activity, for example), however, this will only be a regular part of therapy if oral motor/swallowing/feeding skills are a treatment emphasis.