Life Span Occupational Therapy
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Forms & Insurance

Learn About Our Intake and Insurance Policies

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Life Span Occupational Therapy accepts most insurance plans and has very affordable private pay rates. If you do not see your plan here, please contact us for more information:
  • Tricare/ ECHO
  • US Family Health Plan
  • Cigna
  • Premera
  • Regence
  • BCBS
  • Aetna
  • First Choice
  • L&I WA ( depending on management group)
  • PIP
  • Apple Health Medicaid plans (Coordinated care, Molina,  Amerihealth, Provider one ) 
  • Plans not shown may be able to be billed out of network or with special authorization. Ask for more details. 
  • Specific grants for therapy ie: United Health Children's fund.
  • Private pay options available
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Life Span Occupational Therapy currently does not accept
​Medicare plans. 


Please email Life Span for intake paperwork and insurance verification forms or contact us via our contact page, please be aware that some insurance plans require pre-authorization before you can start therapy. 

Email: lifespanotscheduling@gmail.com  

Adult Intake Form

Download our intake form, release form, and policy form.
Download File

Pediatric Intake Form

Download our intake form, release form, and policy form.
Download File

Our Company


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Testimonials
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Services


Pediatric Services
​Adolescent and Adult Services

Resources


Blog
Forms/Insurance
Students and Employment
​Useful Websites

Contact Information


Scheduling: 360 970 4778
Fax: 360 918 8274
​Email: lifespanotscheduling@gmail.com

Clinic:  Phone and Fax 360 915 6067 (out of hours 425 395 6006)
Email: contact@lifespanoccupationaltherapy.com
​
Hours:  Monday 2-5pm, Tues-Friday 8-8pm
Address:1240 Ruddell Road SE,
​                 Lacey, WA 98503
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  • Home
  • About
  • Our Services
    • Pediatric Services
    • Adolescent and Adult Services
  • Testimonials
  • Resources
    • Blog
    • Forms/Insurance
    • Students and Employment
    • Helpful Websites
  • Gallery
  • Contact Us