Patient Policies

  • Sick Child Policy

    When your child is sick, his/her performance in therapy is not optimal, and in turn, is less beneficial. Therefore, we have established the following illness exclusion policy which adheres to the Centers for Disease Control and Prevention (CDC) Infection Control guidelines.

    Child must be symptom-free for 24 hours, without the use of medications including Tylenol. Therapy will not occur if your child has exhibited any one of the following symptoms within the last 24 hours:

    • Fever of 99º or higher
    • Diarrhea (runny, watery or bloody stools)
    • Vomiting (twice or more in 24 hours)
    • Body rash with fever
    • Sore throat with fever and swollen glands
    • Severe coughing
    • Eye discharge (thick mucus draining from eye, or pink eye)
    • Yellowish skin or eyes
    • Upper respiratory illness such as bronchitis or influenza
    • Chicken pox (until all blisters have dried and formed scabs)
    • Bacterial infection (Impetigo, Strep Throat, etc.)
    • Viral infection
    • Any parasitic infestation (Lice, Scabies, etc.)
    • Extreme irritability, exhaustion, or continuous crying

    In the event that your child is exhibiting any of the above symptoms we ask that you contact your therapist as soon as possible to reschedule your appointment.

    If you are unsure regarding your child’s status, please contact your therapist and they will use their discretion in deciding whether therapy should occur as scheduled. In the event we arrive for an appointment and find your child is exhibiting any of the above listed symptoms, we reserve the right to cancel the session and attempt to reschedule for a later date.

    Because we work so closely to your child, our concern is not only your child’s health, but also maintaining the health of our staff. We need to be sensitive to the other families in the waiting room as well. Thank you for adhering to this sick policy.

    Attendance and Cancellation Policy

    At TOTS our goal is to provide quality therapy within a timely manner. In order to do so, we have established a cancellation/no show policy. This policy will help ensure that appointment times are available throughout the day.

    • Please contact the clinic or your therapist before 9:00 am the morning of your appointment if you need to cancel/reschedule due to illness or emergency.
    • Please provide at least 24 hours notice of a cancellation for a planned absence.

    We understand there will be times when your child is sick or other unavoidable events will prevent you from keeping your regularly scheduled therapy appointment. If this occurs, we ask that you contact your therapist as soon as possible so they have the opportunity to reschedule the missed appointment and fill your child’s time slot with another appointment. Our therapists will do whatever they can to be available to your child and accommodate your family’s schedule when making appointments. It is expected, in turn, that you will schedule appointments in good faith and facilitate adequate time in your schedule to keep your child’s therapy a priority.

    If the clinic or therapist is not informed before 9:00 for illness unless your child develops symptoms of fever, vomiting, or diarrhea and has to be picked up from school or at least 24 hours before a planned absence then the visit will be considered a “NO-SHOW”.

    A NO-SHOW status is defined as a patient who has failed to be present at the time of their scheduled appointment. TOTS will follow a 3 strike rule for NO-SHOW within a 6 month period. After 3 NO-SHOW appointments you may be taken off the therapy schedule.

    Pick up Policy If you need to leave during your child’s scheduled therapy time, you must arrive 10 minutes before the end of the session. Please confirm with the therapists your expected return time at the beginning of the session. After 2 late returns, you will not be able to leave the premises during your child’s therapy session.

    The intent of these policy’s is to prevent delays in care and utilize therapist time more efficiently by reducing unused appointment slots. TOTS reserves the right to charged $25.00 for any appointments that are considered a NO-SHOW. An invoice for the missed appointment will be sent out and payment is due upon receipt . We appreciate your attention to our attendance and cancellation policy, and request that you comply with all cancellations in a timely manner. Thank you for allowing us the opportunity to connect your child with their potential!


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