Enrollment

Day treatment services are paid for through Medicaid funding, including ARKids A, SSI and TEFRA. Grow Learning Centre can contact your insurance provider to determine your child’s coverage for therapeutic interventions.

Your child is eligible if he/she:

Receives Medicaid funding
Qualifies in Developmental and one of the following areas: Speech Therapy, Occupational Therapy, Physical Therapy and/or Nursing Services
Treatment is prescribed by their Primary Care Physician (PCP)

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Parent/Legal Guardian First Name*

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Parent/Legal Guardian Last Name*

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Email Address*

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Phone Number*

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Child's Name*

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Child's DOB*

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Insurance Carrier

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Member ID

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Name of Policy Holder

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Policy Holder DOB

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Group Number

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Medicaid Number

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Location*

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