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!

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

Case History - Pediatric - English
Case History - Pediatric Spanish
 
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:

  •    Blue Shield of California

  •    United Healthcare

In Network Occupational Therapy:

  • Blue Shield of California

  • American Specialty Health

  • Cigna

  •  United Healthcare

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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

  • Initial Evaluations

  • Progress Notes

  • Re-Assessments

  • Discharge Summaries

  • Reminders 

  • Account balances

  • Invoices

 
 
Get in Touch
Our office staff is here to help!  Call us between 8:30 a.m. and 5:30 p.m.
  • Please schedule an appointment before coming in.
  • Unfortunately, we are unable to see walk-in patients.
  • We have appointment times from 8:00 a.m. to 5:30 p.m. Monday-Friday
For general questions, please feel free to email us at hello@expressiveconnections.org