The Madison Center | Speech Therapy - Occupational Therapy

How Do I Start Therapy?

If you are interested in scheduling an evaluation for your child, please do the following in the order listed:

Initiating Therapy

1. Contact your insurance company. Download and complete the Medical Insurance Benefits Worksheet
2. Obtain order/referral from your child's physician if you haven't already. Your physician can send The Madison Center the order/referral via fax to 952-401-4285.
3. Call The Madison Center: 952-401-4242
4. Complete the appropriate patient information packet and either e-mail, fax or mail the form back to The Madison Center no later than one week prior to your scheduled appointment.
Mail: 464 2nd St., Suite 105 Excelsior, MN 55331

We are currently an in-network provider with the following:

  • BlueCross BlueShield
  • Health Partners
  • Medica
  • United Health Care
  • Preferred One
  • Minnesota Care

If necessary you can access our services using your out-of-network benefits. We’ll take care of all insurance submissions for you, as well as any authorizations or referrals that you may need. Once you have scheduled an appointment, please download the new patient information forms and bring the filled out forms with you to your child's first appointment.

What do I need to bring to my child's first appointment?

  • New patient info forms
  • Health Insurance Card
  • Socks for you and your child. Shoes are not permitted in our treatment areas.


Downloadable Forms


The following downloadable forms are provided for you convenience.

New patient forms packet

If you are a new patient this provides all the forms you need. Simply download, print and fill them out. Please bring the completed forms with you to your next appointment. If you have questions call us at 952-401-4242.


Individual Forms

If you are just looking for a specific form, all forms are provided individually here.

  • Evaluation Sheet - Provides important information to complete a thorough evaluation of your child. Depending on your child’s abilities, some questions may not be applicable.
  • Patient Info Form - Authorizes the Madison center to release and/or obtain information from listed physician.
  • Insurance Form - Authorizes your insurance to make payments direct to The Madison Center.
  • Confidentiality Form - Authorizes The Madison Center to release or obtain information for the purposes of collaboration of services.
  • Health Insurance Verification Form