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, we bill insurance as a coursity to you, please make sure you know your plan and if your treatment will be covered:
  • 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, Community Health Plan of WA,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
  • CareCredit applications available
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Life Span Occupational Therapy currently does currently not accept the following:
​Medicare plans or United Healthcare medicaid

If you wish to change your medicaid plan you can visit:
​ 
Change my health plan | Washington State Health Care Authority

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

Email our scheduler at: 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

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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 - Thursday 8am-8pm, Friday 8-6pm
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