Getting Started at Milestones!

What Should I Do to Get Started With Therapy?

The Initial Evaluation Appointment

The First Therapy Session

How Long Will My Child Receive Therapy Services?

Health Insurance & Payments

Insurance Benefits for Therapy

Payment Information



What Should I Do to Get Started With Therapy?

After receiving a referral for therapy services, or even if you are seeking out therapy on your own accord, please contact our office to schedule your first appointment. Our friendly office staff will do their best to answer all of your questions, and will schedule your first appointment, which is most typically an evaluation. Our office staff will obtain your health insurance information and check your benefits for therapy prior to your first appointment. You can be mailed a Welcome Packet or you can download it directly from our website. If possible, we prefer the Welcome Packet be completed and returned prior to the evaluation, however, if that is not possible please be sure to bring it to the first appointment.



The Initial Appointment

Upon your arrival to our office, please provide our staff with your Welcome Packet (at the bottom of this page or we can mail one to you) and insurance card. The evaluation testing takes approximately 2 hours to complete depending on your child’s abilities. The two hours of testing is conducted within the first two weekly appointments that are one hour in length.

During the evaluation sessions, your child’s therapist will discuss with you your current concerns regarding your child’s development. We strongly encourage all parents/care-givers to share with us personal goals you would like to see your child achieve as well so that these may be included in the evaluation report. Upon completion of the testing, your therapist will discuss any areas of concerns and make recommendations. If services are recommended, services will begin the following week at the same day and time the testing was conducted.  If services are not recommended, we will provide a copy of the assessment report via mail within four weeks of the completion of the testing.


The First Therapy Session

Please arrive at least 5 minutes before your child’s therapy session with your child.

Therapy sessions are 50 minutes in length with the last 5-10 minutes set aside for parent education and discussion of progress in therapy that day. During your child’s therapy session, most of our parents remain in the waiting room. Typically, children participate at a greater level, and/or transition more easily between activities without their parent present.


How Long Will My Child Receive Therapy Services?

This question will be more easily answered once your child’s evaluation is complete. If therapy services are recommended, a frequency and tentative time line will be established, along with a plan of care, and goals to be achieved on both a short-term and long-term basis. Most of our patients begin therapy once a week for a period of 6-12 months depending on severity of needs. Children continue at their recommended frequency for as long as it is needed. As long as your child is making progress towards their goals, therapy will continue.


Health Insurance & Payments:

Milestones accepts all types of insurance as form of payment, but we are “in-network” with the following companies:

  • Anthem Blue Cross/Blue Shield
  • Other Blue Cross / Blue Shield Plans
  • NH Medicaid
  • United Healthcare
  • Cigna
  • Harvard Pilgrim Healthcare
  • New Hampshire Healthy Families
  • Wellsense
  • Tricare
  • Tufts


In the case that we are not “in network”, we will still submit claims to your insurance company as an out of network provider. Not all insurance plans have “out of network” benefits. Most “out of network” benefits include a higher deductible and are responsible for a greater percentage of the total charges.


Insurance Benefits for Therapy

Your insurance benefits for therapy services will be checked and reviewed with you in detail before your first visit to the clinic. Please note that benefits which are quoted to you or to our patient account representative are not a guarantee that therapy will be covered. Your child’s diagnosis and treatment plan of care are unique, so never assume the benefits will ensure payment for the services rendered.

Many health insurance plans do provide benefits for Occupational, Physical and Speech therapy, but, frequently there are limitations for this coverage. Limitations may be related to a child’s age, diagnosis, or for the number of therapy sessions a child may receive per year.


We will submit claims to your insurance company on your behalf and upon receiving any denial for therapy, we will appeal, submit documentation, and make every effort to allow for therapy coverage to continue.


Payment Information:

Milestones accepts, cash, checks, credit cards, and health savings account cards for co-payments, co-insurance, deductible and private pay services.