This section is a complete
overview of the documentation given and reviewed during a Consultation. Everything that patients leave our
office with following the consultation is included in this section.
1. Initial Evaluation
The Profile Chart is the only report given to
the patient. It displays the patient's specificresu lts from each test they were given. Rather than give
the patient a long written report, we find that this type of report is much more informative and the results are
This packet provides
the parent with the specifics of the vision therapy program. The first page details the duration of a session,
the cost per session, the number of progress evaluations needed, payment options, early exit policy, and missed
session policy. It does not list the entire cost of the program as different payment options are
The Magic Bullet was first implemented by Dr. Mowbray two
years ago, and it increased our sign-up percentage significantly almost immediately. Because of the value of
this concept, it is not discussed here.
This sheet outlines the pre-payment discount and lists
the amount saved per program. We always offer a significant pre-payment discount to anyone evaluated at our
clinic. The discount given should be
equivalent to the amount of free sessions you are offering. This way the patient can submit superbills for all
kept sessions, as they would not be able to
submit a partial session to their insurance company. The free sessions offered are always applied at the
end of the program and no superbills are given for these sessions.
7. How to Inquire about
Since we do not submit insurance claims at our
office, we use this sheet as a guide for our patients to help them determine if they have insurance coverage for
vision therapy. This sheet is very helpful when the patient is making a call to their insurance company. It
lists the information they will need to have before they can fully understand what their coverage may be. It
also instructs the patient to ask critical questions that the insurance company might not bring up such as:
usual & customary (or allowed amount), session limits, or the need for referrals and letters to be sent. We
send pre-determination, prior-authorization, and medical necessity letters on behalf of the patient if needed.
See Insurance section for more information.
8. New Patient
This is a general information sheet for new patients that list our rules for patients and
parents attending a therapy session. It lists policies regarding arriving late, siblings, cell phone use,
food/drink policies, and therapy room etiquette. This is given at the consult as well as at the first therapy
session. This sheet is crucial in
illustrating what rules we have in place prior to starting a therapy program.