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Scheduling an Initial Appointment

Clients may be self-referred or referred by pediatricians, teachers, psychologists, early intervention, or other health-care professionals.

The first step to starting at Emerge is to call and ask to speak with the Clinical Director of Occupational Therapy or the Clinical Director of Speech/Language Therapy.

This phone call typically lasts between 10 and 15 minutes. This initial conversation is a way for us to learn a little about your child and any concerns that you may have. We will ask you a series of questions that helps us determine the appropriate plan for moving forward.

We also want to make sure we answer any questions you may have about our individualized approach to therapy, the services we offer, details about our clinic and treatment sessions, and the process for starting therapy at Emerge. We are happy to schedule a tour and/or in-person intake with one of our Clinical Directors, if you have more specific questions regarding treatment or evaluations.

After your child’s initial appointment is scheduled, we ask you to complete parent questionnaires. The person scheduling your child’s appointment will direct you regarding which forms to complete. Some of these are on our website, while other must be mailed to you. We ask that you fill these out and bring them to your initial appointment along with any additional information such as Individualized Education Plans, previous assessments or other medical records that may also be helpful to gain a full picture of your child’s needs.

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Visiting Emerge

Our clinic was designed with children and their parents in mind.

Our waiting area has a collection of toys, books and magazine to entertain clients and family members. We offer several seating options including kid-sized chairs, a cozy couch and loungers, and even a desk for completing homework.

Our parent lounge has a free coffee and tea maker and serves as a quiet place to get work done or observe activities in the sensory gym. We also offer free wifi, a snack and beverage machine, and observation windows on all of our treatment spaces.

To take a look at our treatment spaces, including our 2,000 square foot sensory gym, click here to watch a video tour of the clinic.

If you’d like to come for a visit, please call us at 919-928-0204 to set up a tour.

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Fill Out or Download Forms

These forms will help us learn more about your child and allow us to focus on their unique needs during their evaluation. They will also help us create and implement an effective therapy plan.

Please complete these forms online or print them, fill them out and bring them to your child’s initial evaluation. An additional standardized questionnaire may be sent by mail if needed.

Learn More

Occupational Therapy Evaluations

The Clinical Director of Occupational Therapy will help to decide which evaluation option will be right for your child.

Full Evaluation

Lasts about two hours. Typically recommended for children ages 5 and older. Your child will be evaluated using appropriate standardized assessments and a set of clinical observations to better understand your child’s sensory processing (see listed below), motor skills and behavioral organization. Each evaluation is tailored to the specific concerns and child’s needs. Within two weeks of the evaluation, a one-hour parent interpretive conference is held to discuss our findings and recommendations. We strongly encourage all primary caregivers to attend the parent interpretive, if possible. If you choose, the conference audio can be recorded and given to you at the end of the meeting. A formal report, completed following the parent interpretive, is also included detailing all findings as well as recommendations for moving forward.

Standardized Assessments
  • Fine Motor, Visual Motor and Gross Motor skills
  • Praxis/Motor planning skills
  • Postural Stability
  • Primary Movement Patterns/Primitive Reflexes
  • Vestibular processing (clinical observations and post-rotary nystagmus)
  • Proprioceptive processing (clinical observations)
  • Sensory sensitivities and/or sensation seeking (clinical observations and parent/child interview)
  • Attention, focus and behavioral organization
Full Evaluation with a School Visit
In addition to the Full Evaluation and one-hour parent interpretive, a one-hour school observation is also included.
Modified Evaluation

Lasts about 90 minutes. Typically recommended for children under the age of 5. Clinical observations for sensory processing and/or motor concerns will be performed, and each evaluation is tailored to the specific concerns and child’s needs. Usually, a standardized assessment is administered. Within two weeks of the evaluation, a one-hour parent interpretive is scheduled to discuss our findings and recommendations. If you choose, the conference audio can be recorded and given to you at the end of the meeting. We strongly encourage all primary caregivers to attend the parent interpretive, if possible. A formal report is also included, which details all findings as well as recommendations for moving forward. The report is completed after the parent interpretive.

Handwriting / Fine Motor Evaluation

Lasts about 90 minutes. Typically recommended for children with specific handwriting / fine motor concerns, when there are no concerns regarding sensory processing, behavioral regulation or gross motor coordination. A standardized assessment, handwriting samples, and clinical observations impacting handwriting / fine motor performance will be performed. A formal report is included, which details all findings as well as recommendations. A parent interpretive conference is not included for this evaluation. If the parents or therapist see the need for a parent interpretive, it will be billed at the typical session rate.

Screening

Lasts about one hour. Screenings are designed to determine whether or not further evaluation is indicated or occasionally to assess a single isolated skill. Clinical observations and sometimes standardized testing will be used to determine functioning in areas of specific concern. A brief report is also included detailing screening findings. A parent interpretive conference is not included for this evaluation. If the parents or therapist see the need for a parent interpretive, it will be billed at the typical session rate.

If a more extensive evaluation is indicated, following the screening, our therapist will suggest the appropriate next steps. If an evaluation is recommended, the screening fee is applied to the cost of the evaluation.

Insurance

If you are a subscriber to one of our in-network insurance plans (Tricare, Medicaid) the evaluation will be limited to 1 hour, due to coverage limitations. These evaluations will be a combination of standardized assessment and clinical observations. A parent interpretive meeting is not included, although the therapist may use a portion of your child’s initial session to review the evaluation results with you. A formal written report is included.

Occupational Therapy Treatment Sessions

Therapy sessions are typically scheduled at the parent conference or directly following the evaluation. Our therapists tend to have fairly full schedules, so it is advantageous to confirm your child’s therapy sessions as soon as possible. Sessions are typically scheduled once or twice weekly at a re-occuring time. We may be able to schedule back-to-back appointments if your child will receive both occupational and speech therapy. Your child’s therapist will ask for your input on therapy goals and will draft formal short-term and long-term goals with the evaluation report.

Occupational therapy sessions are typically scheduled for 45 or 60-minute sessions depending on your child’s age and therapy concerns. Your child’s therapist will provide input and recommendations.

Our clinic is play-based and child-centered, so you can rest assured that your child’s therapy session will be fun! We try to draw on the child’s interests and bring in materials and activities that will be motivating while achieving our therapy goals. You will often see us on the floor or engaged with children in movement activities to keep them motivated and involved in the therapy session. We welcome your continued input throughout therapy on goals and activities for your child.

Speech & Language Evaluations
Full Speech/Language Evaluation

Typically lasts between 1 ½ – 2 hours. With this evaluation, we are able to obtain a complete picture of language skills (receptive and expressive language, grammar skills, vocabulary, etc.). In addition, we assess articulation, speech fluency, and voice quality.

Articulation Evaluation

Lasts about an hour. We assess speech production of all the sounds of English. In addition, we look at overall intelligibility, oral-motor structure and movements, and the child’s ability to correct his/her production of any error sounds given cueing.

Stuttering Evaluation

Lasts about an hour. Assesses overall speech fluency to determine frequency and severity of repetitions, blocks, interjections, and revisions when answering questions or participating in conversation.

Toddler Evaluation

Lasts about an hour. This evaluation is appropriate for children birth to about three who are referred due to possible delays in language skills (late talking, limited response to questions/directions, delayed play skills, poor interaction with others). The evaluation consists of a parent interview, observation of play skills, and interaction during play.

Speech & Language Treatment Sessions

We can schedule therapy sessions, if indicated, after the evaluation is completed to ensure the most flexible scheduling. We may be able to schedule back-to-back appointments if your child will receive both occupational and speech therapy. Your child’s therapist will ask for your input on therapy goals and will draft formal short-term and long-term goals with the evaluation report.

Speech/language therapy sessions are scheduled for 30-, 45-, or 60-minute sessions, depending on your child’s age and speech/language concerns. Therapy is typically scheduled once or twice weekly, although it sometimes occurs with a greater or lesser frequency. Your child’s therapist will provide input and recommendations.

Speech/language therapy sessions typically take place in one of our smaller therapy rooms or small gyms, depending on your child’s concerns. Parents are always welcome in our sessions. Direct parent involvement is especially important with younger children in order to facilitate effective home carryover. If you choose not to remain inside the therapy room during your child’s session, you are welcome to watch through the observation window or remain in the waiting room. After the session, your child’s therapist will provide input on your child’s performance and progress during the session, as well as on ways you can carryover therapy techniques at home.

Our clinic is play-based and child-centered, so you can rest assured that your child’s therapy session will be fun! We try to draw on the child’s interests and bring in materials and activities that will be motivating while achieving our therapy goals. You will often see us on the floor or engaged with children in movement activities to keep them motivated and involved in the therapy session. We welcome your continued input throughout therapy on goals and activities for your child.