LET'S SCHEDULE YOUR SERVICE THROUGH INSURANCE

We currently accept: CARESOURCE

1. Please complete the form below to request an Evaluation for Occupational Therapy and we will be in touch soon!

2. You reach out to your physician for a referral and request they submit an Authorization for Grow Together LLC/ Katelyn McCommons, MOT, OTR/L.

3. They may email us at [email protected] or fax us at 513-824-8027.

Step One: Complete This Form

GUARDIAN First and Last Name *

Phone *

Email *

CHILD'S FULL NAME: *

CHILD'S Date of Birth *

What is your child's diagnosis? If none, state your concerns here: *

Your Pediatrician's Office Name + Location: *

Your Pediatrician's Phone Number *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Grow Together. Message frequency varies. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

Grow Together Contact Information:

LET'S SCHEDULE YOUR SERVICE THROUGH INSURANCE

We currently accept: CARESOURCE

1. Please complete the form below to request an Evaluation for Occupational Therapy and we will be in touch soon!

2. You reach out to your physician for a referral and request they submit an Authorization for Grow Together LLC/ Katelyn McCommons, MOT, OTR/L.

3. They may email us at [email protected] or fax us at 513-824-8027.

Grow Together Contact Information:

Phone: 513-443-8965

Fax: 513-824-8027

E-mail: [email protected]