New Patients

Breakthrough Therapy Services

New Patient Forms

All new speech and occupational therapy patients/students MUST fill out the required forms as specified below before your initial visit. Please fill out the required forms and either fax to (954) 474-8145, OR scan & email the completed forms to: PRIOR to contacting our offices.

Speech Therapy New Patient Forms:

Occupational Therapy New Patient Forms

Insurance Accepted



Blue Cross Blue Shield

Meritan Health

United Healthcare

Champ VA


Medicaid FFS

Sunshine (CMS T19/T21)

Simply Healthcare

Community Care Plan (CCP)

Coventry Medicaid MMA

Molina Medicaid MMA

Humana Medicaid MMA

Sunshine Medicaid MMA