Get Started with OT

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Date

Therapeutic Approach

Treeline Enrichment aims to be a neurodivergent affirming practice. We use identify-affirming language (i.e. autistic child) and not person-first language (child with autism) because we believe being neurodivergent is a part of their identity. Neurodivergency is a different way of thinking, learning, and doing.
Our therapists use cues of safety, sensory supports, and relationship-based interventions to support children in sessions. We are not a setting that subscribes to compliance-based ABA principles and strategies.
We are a play-based setting that is motivated to work with your child's strengths and in their unique areas of interests.
Treeline Enrichment values strong parent partnerships, regular communication, and therapy that is focused on very functional and meaningful objectives that the parent helps to write. Parents are expected to be active partners in the therapy process. Treeline is not the setting to simply drop your child off for a session once a week and that's it. We are your partners in this journey to help your child thrive.
We say yes to the mess ... every time. At Treeline Enrichment, your child will leave therapy sessions a little (or a lot) dirty (or wet), sometimes stinky, and sometimes a little tired. We will not ask your child to NOT play in the mud if they are interested, instead, we WILL play in the mud with them!
Treeline is an all-weather setting. Therapy sessions take place in the heat, cold, rain, wind, and sun. We shelter under roof from thunderstorms and high winds only. We embrace all of these weather variables as opportunities in the therapy process.

We are NOT the right setting for every child or every family. When you select Treeline Enrichment to help your child be their best through outdoor occupational therapy, you understand the above is the Treeline therapeutic approach and you are ready for your child to grow and learn and thrive under these principles.

I have read and agree with the Treeline Therapeutic approach (above).*

Yes

I understand that Treeline Enrichment does not work directly with any insurance company. Treeline is a direct provider for the Family Empowerment Scholarship, accepts Private Pay, and will provide a Superbill to a family upon request.*

Yes, we plan to use the Family Empowerment Scholarship for services.Yes, we plan to private pay for services.Yes, we plan to private pay for services and will be seeking out of network insurance reimbursement

Your insurance plan must have out-of-network benefits in order for you to be reimbursed for services provided by Treeline Enrichment, as we are not part of any insurance network.

Further, many insurance plans will only reimburse for occupational therapy services if a physician has prescribed them as medically necessary PRIOR to treatment.

Please complete the Letter of Medical Necessity (we highly suggest right-clicking the link and opening it in a new window) form found by visiting our Client Resources Page. It is very important that you check with your insurance provider before starting services to clarify what services are covered, how they are covered, and how they are reimbursed.

Are you a returning Treeline Enrichment Occupational Therapy client?*

Yes, we have been a part of previous OT groups or individual servicesNo, we are new to Treeline Enrichment OT services

Child's Full Name*

First NameLast Name

Child's Birthdate*

Date

Parent / Guardian Name*

First NameLast Name

Parent / Guardian Phone Number*

Area CodePhone Number

Parent / Guardian Email*

example@example.com

Where did you hear about Treeline Enrichment? *

Why are you seeking occupational therapy services for your child? *

Describe any therapy services that your child is currently receiving or has received in the past.*

I understand that an OT is evaluation is required by state law prior to beginning occupational therapy services. Review the details of the OT evaluations offered at Treeline Enrichment here: www.treelineenrichment.com/occupational-therapy-evaluations. Which level of OT evaluation are you seeking?*

Basic EvaluationStandard EvaluationComprehensive EvaluationTransfer Plan of Care (I will provide a current OT evaluation completed in the state of Florida within the last 12 months)Undecided, I would like to discuss evaluationsI have a current OT evaluation (within the last 12 months) that was completed at Treeline Enrichment

If your child is currently receiving OT services or has completed an OT evaluation from a Florida occupational therapist in the last 12 months, what is the date of your child's most recent occupational therapy evaluation or re-evaluation?

Date

Please upload a copy of your child's most recent OT evaluation (if it was within the last 12 months).

Browse Files

Treeline offers INDIVIDUAL occupational therapy sessions September through May and small GROUP sessions at select times. Review OT services offered at Treeline Enrichment here: www.TreelineEnrichment.com. What service(s) are you interested in?*

Individual sessionsSmall group sessionsSummer sessionsUndecided, I would like to discuss which options are best for my child

If there is a therapy group listed on the Treeline website that you are interested in, please indicate the day, time, and age range below.

What time of day are you available (check all that apply)?*

Mornings: 9:00-1:00 pmAfternoon: 3:00-6:00 pmDuring public school breaksI'm not quite sure yet

Behavior Policy

Our therapists use cues of safety, sensory supports, and relationship-based interventions to help children handle big emotions and behaviors. Children who attend our services must be able to follow simple directions (most of the time!), and have basic safety awareness to be in wild nature settings with the therapist but NOT always within arm’s reach.

We are on over 10 acres of natural space with access to a pond, barbed wire fence, seasonal creek, elevation changes, trees, and natural hazards like thorny plants and potential animals. This is not an ideal environment for children who have significant behaviors or support needs for safety in this setting. If a child has disruptive behaviors that impact the safety of themselves or the therapists in this environment, we will immediately collaborate with the parents to discuss relationship-based strategies to further support safety in the environment. Should it be decided by the therapist and parent that this setting is not a good fit for the child, services will be terminated.

Please verify by checking EACH box that matches your child's abilities.*

My child is able to stay with an adult or group and does not run off / elope.My child does not have challenging behaviors that could potentially endanger themselves or others in the woodsMy child is able to maintain personal safety with an adult nearby but not always within arms reach.For small group: my child is able to navigate outdoor spaces with minimal physical supportFor small group: my child is able to function in a small group with 3-6 kids, given a 1:3 adult to child ratioMy child does not yet meet these criteria, but I hope to work with Treeline OT in the future.

Please leave any comments, questions, or concerns you have about your child's participation in outdoor occupational therapy based on the above behavior policy.

Would you like to subscribe to our email newsletter to receive periodic emails from Treeline Enrichment?*

Yes, Occupational Tips & Program Announcements.Yes, Nature Play Inspiration & Program Announcements.Yes to both, please.I'm already subscribed!No, but thank you.

I have filled out this form completely and reviewed it for accuracy. I will now schedule a 15-minute informational call with Treeline Enrichment using the link that will appear when I press submit.*

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Getting Started with Occupational Therapy