Pine Tree Rehab and Educational Services, PLLC Send Message

Who would be receiving care?

Your info

Select the state you live in
Parent, Guardian, Self, Other?
This helps us determine availability for in-home services available in Pierce County. Virtual services are available throughout Washington State.
Reason for care
Please briefly describe your child’s speech, language, communication, reading, spelling, or learning concerns.
Limited to 600 characters
Administrative
Enter how you were referred to and/or found out about our services
Billing & Payment
How do you plan to pay for services? Pine Tree Rehab accepts several insurance plans, including Regence BlueShield, Premera Blue Cross, LifeWise, CHAMPVA, TRICARE/TriWest, Community Health Plan of Washington, Coordinated Care Apple Health, Ambetter, and Cascade Care Select. Please check with us for the most current in-network list, as we are actively adding insurance plans. Private-pay options are available, and we can provide superbills for possible out-of-network reimbursement when appropriate. Reading tutoring is an educational service and is not billed to insurance.
List current insurance provider and other relevant insurance information needed to verify eligibility. ~May skip if not applicable~
Limited to 600 characters
Client Preferences
Pine Tree Rehab provides in-home services throughout Pierce County and virtual services across Washington State.
For example: what you'd like to focus on, insurance or payment questions, etc.
Limited to 600 characters

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.