Welcome!
We are so happy to have you joining the Expressive Connections community. All of your forms, links, and initial documents are available right here, but please call our office at 626-799-7955 if you need any further assistance getting started!
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Patient Forms
We are sensitive to your time and schedule. That's why we offer all of our patient forms in one place!
New Clients
New Patient Intake Packet
(For Insurance Based Clients)
New Patient Intake Packet
(For Private Clients)
New Patient Intake Packet
(For Regional Center Based Clients)
INSURANCE
In-Network insurance
We will directly bill any insurance for which we are an in-network provider!
In Network Speech Language Pathology:
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Blue Shield of California
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United Healthcare
In Network Occupational Therapy:
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Blue Shield of California
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American Specialty Health
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Cigna
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United Healthcare
Which insurance do you accept?
What if my insurance isn't listed?
Billing questions & payment plans
Out-of-Network insurance
All insurances work differently. Contact or office for specifics on your insurance and how we can help. We may be able to direct-bill your insurance, provide claims for you to submit, or help you with an out-of-network waiver or other funding source!
Billing & Payment Plans
Navigating health insurance and funding for the medical needs of you or your child can be difficult. Our team is here to help you with any questions and guide you through the process. Call us at 626-799-7955 for questions on pricing, packages, or billing!
Teletherapy Consent /Agreement
Consent for Alternate Accompanying Adult
Information Sharing Consent
Patient Portal + Reminders User Agreement
Other Forms
The patient portal enables our clients to view
Patient Portal
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Initial Evaluations
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Progress Notes
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Re-Assessments
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Discharge Summaries
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Reminders
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Account balances
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Invoices
Get in Touch
Our office staff is here to help! Call us between 8:30 a.m. and 5:30 p.m.
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Please schedule an appointment before coming in.
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Unfortunately, we are unable to see walk-in patients.
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We have appointment times from 8:00 a.m. to 5:30 p.m. Monday-Friday