Forms & Policies

FORMS
THERAPY APPOINTMENT PROCEDURES
Drop Off:
Session Start Time
Pick Up: 10 minutes before session end time
Please see our
COVID19 Page for more details
Drop Off Procedures
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What to Bring to Sessions - Clinic
- Prescription glasses, hearing aids/cochlear implants, durable medical equipment (wheelchair, crutches, orthotics, braces, arch supports, etc) or an AAC device
- If your child tolerates wearing a mask, please have them wear one into the clinic
- Epi Pen (if applicable)
- Extra set of clothes in case of accidents or messy play during therapy sessions
- Water Bottle
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What to Bring to Sessions- Pool
What to Bring to Pool Sessions
- Swimsuit, worn to the session under clothes. Please use a swimsuit that is only worn in the pool and not in the ocean, which helps prevent algae growth in the pool
- Two towels, one for the pool deck and one for after
- Water bottle
- Dry change of clothes
- Reusable swim diaper worn over a disposable swim diaper, for keiki who are not yet potty trained in the pool
- Reef-safe mineral sunscreen with zinc oxide or titanium dioxide
- Rash guard or sun shirt
- A dry, labeled container for hearing aids, cochlear implant processors, or prescription glasses. Families keep these items with them during the session
- Epi Pen, if applicable
- Any equipment your child needs to get to and from the pool deck, such as a wheelchair, crutches, braces, or orthotics
Notes and Reminders for Therapy at the Pool
- Please bring your child to their session already in their swimsuit, with a towel and water bottle
- We kindly ask that aqua therapy clients use a different swimsuit in the pool than they wear in the ocean, which helps prevent algae growth in the pool
- Have your child use the restroom before arrival
- Sunscreen should be applied at least 15 minutes before the session start time. Please use a reef-safe mineral sunscreen, meaning zinc oxide or titanium dioxide as the active ingredient. Hawaii law prohibits the sale of sunscreens containing oxybenzone or octinoxate
- Please let your child's therapist know if your child is not yet potty trained in the pool.
- Keiki who are not potty trained should come wearing a reusable swim diaper over a disposable swim diaper. A reusable swim diaper is a washable cloth or neoprene cover with snug elastic at the waist and legs, sometimes labeled a swim diaper cover. These are available at most baby and department stores and online
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Easy Mobile Check-In and Arrival Reminder
About 30 minutes before your appointment, you'll receive a check-in link by text or email to make your arrival quick and easy. After you complete pre-check-in, Prompt will send one more reminder at your appointment time so you can let us know you've arrived.
Payments at Pre-Check-In and Digital Invoices
Rather than collecting outstanding balances through our previous weekly card-on-file process, Prompt will allow families to review and pay their copay or balance during pre-check-in directly from their phones. We will also email invoices for any balance due. Each invoice will include a secure payment link so you can quickly review and pay your bill online.
Your card on file will remain securely stored and will only be charged if payment is not completed through pre-check-in, the invoice payment link, or otherwise paid in a timely manner, in accordance with our financial policy.
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Parking and Arrival — Clinic
We do not have a lobby available for waiting during sessions. Unless special arrangements have been made with your therapist, all appointments will follow a drop-off and pick-up process.
We kindly ask that families remain in their vehicles upon arrival and during sessions rather than entering the property, walking around therapy areas, or waiting/congregating in the parking lot. This helps keep our therapy spaces clear for sessions and ensures that children do not wander near the street.
We have plenty of parking available! Upon arrival, please park toward the far end of the lot after entering. Your child’s therapist will meet you at your car at the start of the session and return your child to you 10 minutes prior to the end of the session time.
*All drop-offs must include a direct handoff to a therapist or staff member.
*If someone other than the usual guardian will be dropping off or picking up your child, please inform our administrative staff in advance. An updated consent form will be required
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Parking and Arrival — Pool (Kahala Location)
Families are welcome to park in the driveway or on the street in front of the property address. Upon arrival, please wait in your car and your child's therapist will meet you at the start of the session.
At the pool location, you're welcome to either drop your child off or wait in the waiting area near the pool. If you stay, please be mindful of noise level, since this is an active therapy environment.
For everyone's safety, children may not enter the pool at any time unless they are brought in by their therapist. This includes before the session begins and after the session ends. Only your child and their therapist are in the water during a session, and siblings are not permitted in the pool.
*All drop-offs must include a direct handoff to a therapist or staff member.
*If someone other than the usual guardian will be dropping off or picking up your child, please inform our administrative staff in advance. An updated consent form will be required.
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Questions for the Administration Team
Our administrative team primarily works remotely, so email is the fastest way to reach us. Please send questions about scheduling, billing, forms, or records to info@sproutstherapy.com, or call us at 808-260-9056.
Therapy In-Session Procedures
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Parents Leaving Facility During Sessions
You're welcome to leave during your child's session. Please stay reachable by cell phone and remain within 10 minutes of the clinic in case your child becomes ill, needs a diaper change, or needs to be picked up early.
If this is your child's first day or an evaluation, please ask the therapist when to return for the parent consult and developmental history review.
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Diaper Changes
Parents are required to complete diaper changes. You will be contacted by Sprouts Staff if you need to be near by or return to the clinic to perform a diaper change.
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Sibling Joining Session
Siblings are not allowed in treatment rooms or on Sprouts Therapy equipment due to liability purposes. In special circumstances, this may be allowed with therapist/administrative approval and signed waivers.
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Photos During Sessions
In order to respect the privacy of all of our clients and staff, we do not allow photography in our clinic or treatment rooms when multiple children are present; however, if your child is the only one in the room, you may take photos of your child.
Permission must be granted before taking photos of Sprouts Therapy staff members.
Pick Up Procedures
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Pick-Up Time
Your therapist will return your child to you (in parking lot) 10 minutes before the end of their last session of the day. The therapist will spend 2-3 minutes discussing how the session went, discuss how things are going outside the clinic and may provide you with activities to work on skills at home. The remaining time (7-8 minutes) is reserved for therapists to perform proper cleaning procedures.
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Consulting with Therapist Post Session
Therapist(s) are more than happy to answer questions during your scheduled session time. We believe communication between parents and therapist(s) is an important part of therapy. If you wish to speak to the therapist about something specific, please let the therapist know in order for them to end the session an extra 10 minutes early to allow time for discussion.Our therapists are on a strict time schedule and are unable to consult after the session ending time.
If you would like to discuss something with a therapist who is not the one transitioning your child out, feel free to direct questions to info@sproutstherapy.com.
CLINIC POLICIES
Sick Policy
We want to provide a healthy environment for all clients and staff! We ask families to be aware of our sick policy to prevent the spread of germs.
Please see our COVID19 Page for specific policies related to COVD19
Scheduling
If there are no ongoing appointments available during your availability window, your child will be added to the waitlist.
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Illness Policy
To protect our clients, families, and staff, please keep your child home if they are currently experiencing, or have experienced within the last 24 hours, any of the following:
- Fever of 100.4°F or higher. Your child should be fever-free for 24 hours without fever-reducing medication before returning
- Diarrhea or vomiting. Your child should be symptom-free for 24 hours before returning
- An undiagnosed rash, or a rash that has not been cleared by a physician
- Persistent cough, difficulty breathing, sore throat, swollen glands, loss of voice, or hacking cough
- A contagious condition such as head lice, pink eye, hand-foot-and-mouth, strep throat, or COVID-19
- A wound that cannot be kept properly covered
Please also keep your child home if they have been excluded from school or daycare for any illness-related reason. If your child arrives with any of the above symptoms, we may need to end the session and reschedule.
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Contagious Conditions
Because we serve medically complex children and share treatment spaces and equipment, Sprouts Therapy maintains a stricter return standard than school and childcare settings.
If your child or a household member is diagnosed with any of the conditions below, we ask that your child not attend scheduled sessions for two weeks from the date of diagnosis. A written clearance from your child's physician is required before returning.
- Lice / Ukus
- Ringworm
- Pink eye / Conjunctivitis
- Hand, foot and mouth disease
- Chickenpox, measles, impetigo, scabies
- Pinworms
- RSV
- Croup
This policy applies to all clients and is not based on individual circumstances. Chronic skin conditions that are not acute infections, such as eczema or molluscum contagiosum, are not subject to this policy and will be managed in coordination with your child's physician.
Please notify us at info@sproutstherapy.com or 808-260-9056 as soon as a diagnosis is made.
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Showing Symptoms During Session
If your child becomes ill during a session you will be notified and depending on severity of symptoms may be asked to take your child home before the end of the session.
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Waitlist and One-Time Openings
Waitlist Refill & Appointment Opportunities
If your child is on a waitlist, Prompt will notify you when an eligible 1x appointment opening becomes available that matches the scheduling preferences you have provided. These may include openings in the coming week or short-notice opportunities. Each notification will include a link that allows you to book the available visit in just one click. ✨
Because openings may be offered to multiple eligible families, we encourage you to respond quickly if you would like to claim the appointment.
Ongoing Waitlist
Please be aware that for some disciplines there is an ongoing waitlist for weekdays after-school (starting 1pm to 6pm) and Saturday sessions. We will try to accommodate your scheduling requests as soon as we have the availability.
The length of time you will be on the waitlist is hard to predict and is often dependent on current clients’ schedule changes and families moving on/off the island. We assure you we will contact you as soon as there is availability.
Plan of Care Compliance
Prompt may notify you if your child is not currently scheduled for the number of visits outlined in their individualized plan of care for the upcoming week. These messages will include a link to view and book eligible available appointments online, making it easier to maintain your child’s planned therapy schedule
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Permanent Schedule Change Requests
If you need to permanently change your child's ongoing therapy day or time, email info@sproutstherapy.com with at least 30 days' notice. This gives us time to look for an opening that works for your family and to offer the released time to another family.
Because recurring appointment times are limited, we can't guarantee a specific day or time. We'll do our best to find a good fit, and your child's current schedule will stay in place while we look.
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Coming Off Schedule?
If you decide to discontinue ongoing therapy, please give us at least 30 days notice by emailing info@sproutstherapy.com. This allows your child's therapy team to plan for discharge, complete the discharge summary, and offer your recurring appointment time to a family on our waitlist.
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Therapist out of office
If your regularly scheduled therapist will be out, another therapist may be able to access the client’s goals electronically and fill in during their scheduled therapy time (when the schedule permits), so there is no interruption in treatment sessions. If no therapist of the same discipline is available during that time, you will have the option to reschedule your child’s therapy session.
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Co-Treatment
Co-Treatment is when more than one discipline works with a child at the same time. (Physical therapy and Speech therapy OR Occupational therapy and Speech therapy.)
Your child's therapy team will communicate with you if recommending cotreatment. The administrative team will schedule accordingly.
A few reasons a child may be recommended for cotreatment include:
- The child may participate more in the session when both disciplines are working together. Both therapists work together to achieve their goals simultaneously, with one discipline promoting another. (For example, if a child has sensory processing and regluation difficulties, the OT can help the child reach an appropriate regulation level for learning through sensory activites, while the speech therapist works on language skills simultaneously).
- If your child is recieving more than one therapy discipline at Sprouts, they may not have the attention, regulation or stamina to participate in back to back sessions. In this scenario, cotreatment may be beneficial for the child to maximize therapeutic benefits.
Parent Communication
Many members of our administration team work off site and in different time zones, therefore, Sprouts Therapy's primary form of communication is through a HIPAA compliant email service.
Please be sure to add "info@sproutstherapy.com" to your email contact list to avoid our emails being filtered into your Spam/Junk Folder or your Promotion Folder (Gmail users).
Attendance Policy
Cancelation notifications must be made by email, verbally to our front desk staff or by voicemail. Our therapists do not handle scheduling and are unable to manage cancellations.
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Office Hours
Regular Clinic Hours*: 9:00 am - 5:00 pm Monday - Saturday
*Regular hours refer to times in which the front office is typically staffed. Therapists may see clients before or after regular office hours throughout the calendar year. The office hours above exclude major holidays and inclement weather days. Calls received before or after hours will be recorded on the clinic’s answering system.
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Clinic Closures (Holidays)
Our office observes the holidays listed below. Sessions that fall on this day will be cancelled. If your family has a session on any other Federal or Hawaii state holiday, the session will remain on the schedule unless the therapist is not available. In this instance, our front office will notify you of the cancellation.
New Year’s Day.......January 1st
Fourth of July...... July 4th
Thanksgiving...........4th Thursday in November
Christmas Eve.........December 24th
Christmas Day.........December 25th
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Information Communicated Via Email
We will be emailing you with any updates to your therapy plan, billing and schedule. In the event that we are requesting a time change to the client's schedule, we will need you to email us back with approval of that change.
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Response Time
We do our best to respond within 24 business hours, however If you don’t receive a response to an email within 2-3 business days, please follow-up by calling us. Please do not use email for medical emergencies or for sending time-sensitive information.
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Accessing Schedule, Invoices, and Therapy Documentation
Your schedule
Your child's upcoming appointments are viewable in the Prompt portal. Your portal invitation is sent to the email address listed on your intake paperwork. If you didn't receive it, email info@sproutstherapy.com and we'll resend it. You'll also receive a confirmation when an appointment is booked and a reminder about 24 hours before each visit.
Your invoices
Invoices for any balance due are sent by email and include a secure link so you can review and pay online. You can also pay a copay or balance during pre-check-in from your phone. Your card on file remains securely stored and may be charged if payment isn't completed through pre-check-in, the invoice link, or otherwise paid in a timely manner, in accordance with our financial policy.
Therapy documentation
Evaluations, progress reports, discharge summaries, and referral letters are emailed to families upon request. To request a copy, email info@sproutstherapy.com and we'll send it to the email address on file.
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Session Reminders
When an appointment is booked, you'll receive a confirmation, followed by a reminder about 24 hours before the visit. Teletherapy families will find their Google Meet link in the reminder email.
About 30 minutes before your appointment, you'll receive a check-in link by text or email so you can complete pre-check-in from your phone and pay any copay or balance due. After pre-check-in, you'll receive one more reminder at your appointment time so you can let us know you've arrived at the clinic.
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Questions or Concerns about Child's Therapy
Should concerns arise, please speak to your child’s treating therapist FIRST. If speaking to the therapist does not resolve your concerns or answer your questions, you may speak to a member of our administrative team or send an email to info@sproutstherapy.com and the appropriate team member will follow up with you regarding your questions and concerns.
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Consultation Meetings with your Child's Therapist
Meetings/consults are scheduled over the phone and are charged hourly. Please note that consultation meetings are not covered by insurances, so the fee will be charged to the card on file. Please provide your availability for scheduling and the best phone number to reach you. We will send a confirmation of the date/time that our therapist will be calling for the phone conference. In the event they are unable to reach you during this time, this meeting will still be charged to your card.
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24 Hour+ Notification Cancellations
For cancellations made by 5pm the day before the child’s in-clinic or teletherapy session(s), no make-up session(s) are required.
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Less than 24 Hour Notice Cancelations
For less than 24 hour cancellations, we allow clients 1-2 weeks to make up the session to avoid the $75/hour cancelation fee (per service). We see your commitment to your child's health and needs as utmost importance. We absolutely understand that situations and/or emergencies occur that can bring about the need to cancel sessions or be unable to attend them, which is the reason we offer make-up sessions and do our best to work with our clients' busy family schedules.
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Same Day Cancelation Due to Illness
For same day cancelations due to illness of the client or a household member, we allow clients 3 weeks to make up the session to avoid the $75/hour cancelation fee (per service). We see your commitment to your child's health and needs as utmost importance. We absolutely understand that families get sick, which is the reason we offer make-up sessions and do our best to work with our clients' busy family schedules.
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No Shows
If you do not show up for your child's session and you did not inform the scheduling team prior to the start of the session time, the $75/hour fee (per service) is automatically applied, as we have no ability to re-book the therapist in that situation.
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Late Arrival / Late Pick UP
LATE ARRIVAL
Our therapists are typically scheduled to see clients back-to-back. In the event that you will be more than 5 minutes late, please give us a call to let us know.
All late arrivals will result in a shortened session with the full amount of the session fee still due.
An OT or PT session must be at least 30 minutes long. If you will be arriving over 30 minutes late, the session will either be cancelled with make-up options provided, or you can elect to be seen and pay out of pocket for the time missed.
(For in-network insurance clients, all therapy sessions excluding speech therapy will be charged at $75.00/hour for late arrival. This will be billed in 15-minute increments beginning at 8 minutes after scheduled start time.)
LATE PICK-UP
All late pick-ups will be charged a $45 late pick up fee for the initial 5-15 minutes tardy picking up child from his/her session. For every 15-minute interval of time your child remains at Sprouts Therapy you will be charged an additional $25.00.
As a courtesy please call Sprouts to let them know you are running late.
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Consistent Attendance
We require an 80% attendance rate within a three month time frame and may need to remove the client from the therapist's schedule if efforts are not made to maintain this rate. We are happy to work with you on your schedule. If you are having issues with your current schedule, please let us know and we will see if we can make changes or put you on the waitlist for your preferred spot.
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Multi-Week Cancelations
We understand circumstances come up and you may need to temporarily cancel your ongoing time slot. Per clinic policy, you may do so for up to three weeks. After three weeks, your ongoing time slot will be offered to other clients and you will be placed back on the waitlist.
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Medicaid Client Attendance Policy
Due to insurance regulations that prevent healthcare providers from charging fees to Medicaid clients, Sprouts Therapy has created a separate attendance policy for clients with in-network Medicaid insurance plans (Kaiser Quest).
NoShow:
Two consecutive no-shows may require your child to be placed on a hold status until the issue of missed appointments is resolved. If a resolution is not made within 5 business days, your child will lose his/her therapy time and be placed on our waitlist.
CAN<24:
All cancellations, including same day illness, that do not provide Sprouts Therapy with at least 24 hours prior notice to the date and time of service will require a makeup session to be scheduled within 1-2 weeks of cancelled session.
Removal from Schedule:
The Sprouts Therapy admin team will always call and attempt to problem solve attendance issues with family before removing a client from schedule. However, in the event that attendance remains an issue, and in order to protect a consistent schedule for our therapists, we have implemented a 3 point attendance policy for Medicaid clients. 1 point is assigned every time your child has a No Show. 1 point is assigned every time your child has a less than 24 hour cancelation (that is not rescheduled). A quarter point (.25) is assigned every time your child is more than 7 minutes late to a session. If client has accumulated more than 3 points within a two month time frame, Sprouts Therapy has the right to remove client from the schedule.
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Cancelation Policy Reasoning
In order to employ qualified full-time therapists, we need to provide them with a reliable and consistent schedule and income. Our cancellation policies are vital to therapist retention and were implemented to ensure Sprouts Therapy stays afloat, allowing us to continue providing our services to families in need.
OTHER INFORMATION
Observations and Screenings
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Sprouts Therapy Screenings (alternate discipline)
If your child's therapist recommends an evaluation or observation from another discipline, a therapist from that discipline will be assigned to complete a complimentary 15 to 30 minute observation during a regularly scheduled therapy session.
If a full evaluation is recommended, the therapist will write a referral letter and email it to you at the address on file. Please print the letter and take it to your pediatrician. Once we receive the prescription from your child's doctor, we can schedule the evaluation.
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Sibling Screenings
If you have concerns with a sibling's developmental milestones, first address this with your PCP. If additional information is needed after you meet with your PCP, you can let our administrative team know and we can schedule a screening or observation.
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Clinic Volunteer Observations
Sprouts Therapy frequently utilizes student volunteers to assist with set-up, clean-up, organization, and other projects around the clinic. You may see volunteers working in the clinic during your child’s session.
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Parent Session Observations
If you would like to observe your child’s therapy session, please discuss it with your therapist beforehand. We encourage parent involvement; however, observations are not always possible in each of our therapy rooms due to the number of clients and therapists working in the same room at any given time. Please let your therapist know ahead of time if you would like to be present during a therapy session to allow for proper room allocations.
We ask that parents silence and put away their cell phones when observing therapy sessions in order to minimize distractions and ensure that you and your child get the most out of the session.
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ABA /Outside Provider Session Observations
If you would like an outside care provider to observe your child’s therapy session, please discuss it with your therapist beforehand. Should you choose to have the provider observe, please schedule this observation with the administrative team at least one (1) week in advance. Prior to the observation, release of information forms will need to be signed for both Sprouts and the outside provider and the provider will also need to sign a confidentiality agreement.
Allergy FAQ
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Do you allow peanuts at Sprouts Therapy?
Sprouts is committed to providing a safe environment that meets the special needs of our clients. Due to an increasing number of families/clients with peanut allergies, we ask that you do not bring peanuts (or food containing peanuts) into the building.
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What should I do if my child requires an Epi-Pen?
If your child has severe allergies and requires an Epi-Pen, you are required to bring it with you to every therapy session. Please write your child’s name on it and leave with the front desk during the therapy session if you plan on leaving the building/parking lot.
In our new client paperwork we also have an Epi-Pen consent form in the event you are unavailable to administer the medication.
Therapy Progress and Documentation
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Progress Reports
Progress reports are completed every 6 months and are emailed to families upon request. To request a copy, email info@sproutstherapy.com.
Each progress report includes an updated status on all current long-term and short-term goals, a summary of the therapy program and progress, and therapist recommendations for next steps in therapy, including discontinuation of goals or addition of new goals.
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Re-Evaluations
Sprouts Therapy typically provides re-evaluations one year after your child's initial evaluation and every year after. The re-evaluation is beneficial for our therapists to draw comparisons between current and previous standardized testing scores and abilities. The results help your child's therapist(s) to tailor goals and plans of care to best fit your child's needs and growing abilities. Re-evaluations are also needed to comply with insurance regulations and to help justify continued services or to determine whether your child is ready for discharge from therapy.
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Criteria for Discharge
The criteria for discharge at Sprouts Therapy includes, but is not limited to the following:
- Your child has attained all goals and/or all referral concerns have been adequately addressed; your child is performing within the average range for his/her age across all areas of treatment.
- The clinician is certain that all treatment methods available have been explored without prevail.
- Your child is unable to participate in therapy sessions or has other problems/conditions that need to be addressed before therapy services will be effective. Therefore, services will be temporarily discontinued to allow time to address these issues.
- Poor attendance/chronic cancelations
- You (the caregiver) request termination of services
- Your family is moving off-island
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Discharge Summary Reports
Your child's therapist will complete a discharge summary, which is similar to a progress report, at the time of discharge. Discharge summaries are emailed to families upon request. To request a copy, email info@sproutstherapy.com and we'll send it to the email address on file.
If you decide to discontinue ongoing therapy, please give us at least 30 days notice. This allows your child's therapy team to plan for discharge, complete the discharge summary, and offer your recurring appointment time to a family on our waitlist.
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IEP Meetings
Unfortunately, our therapists are unable to attend outside appointments; however, your child's evaluation reports, plan of cares and progress reports (available via your client portal) can be given to your child's school team to help advocate HDOE services for your child.
