Occupational therapy clinic
Ironbridge Fields Occupational Therapy · Occupational therapy clinic · Bellingham, WA
Quinn Chatterjee is the clinic manager at Ironbridge Fields Occupational Therapy, and moves every new patient from the first call through insurance, paperwork and the evaluation, keeping the diagnosis, phone and member ID shut away from the assistant.
Use this templateIntake board
IntakesFirst contact5
Calla RydellIFO-26-101Hand and wrist therapy
Ignatius OkwuosaIFO-26-102Pediatric sensory and fine motor
Wilhelmina HaverbrookIFO-26-103Stroke recovery
Tobiah Tennyson-ColeIFO-26-104Workplace injury and ergonomics
Marisela Delacroix-AdeIFO-26-105Handwriting and school skills
Insurance check5
Cormac PettigrewIFO-26-106Hand and wrist therapy
Anneke Lindqvist-AmoahIFO-26-107Pediatric sensory and fine motor
Desmond FairbairnIFO-26-108Stroke recovery
Philomena Szymanski-OrrIFO-26-109Workplace injury and ergonomics
Lorcan VandermolenIFO-26-110Low vision and daily living
Paperwork out5
Sunniva Aldridge-NairIFO-26-111Hand and wrist therapy
Evander Kowalczuk-ReidIFO-26-112Handwriting and school skills
Odessa Montgomery-EzeIFO-26-113Stroke recovery
Rhys Brightwater-LuIFO-26-114Workplace injury and ergonomics
Katarzyna Wojciechowska-PazIFO-26-115Pediatric sensory and fine motor
Evaluation booked7
Ambrose Castellano-BoydIFO-26-116Hand and wrist therapy
Thessaly Whitlock-AdebayoIFO-26-117Pediatric sensory and fine motor
Barnaby OsterhausIFO-26-118Stroke recovery
Imogen Marchetti-NkosiIFO-26-119Workplace injury and ergonomics
Leopold RavenscroftIFO-26-120Low vision and daily living
2 moreSeen5
Yolanda Ndiaye-FenwickIFO-26-123Hand and wrist therapy
Augustin BlomquistIFO-26-124Stroke recovery
Persephone Trevanion-ShahIFO-26-125Pediatric sensory and fine motor
Emrys DellacroceIFO-26-126Workplace injury and ergonomics
Delphine Pemberton-ItoIFO-26-127Low vision and daily living
Waitlisted2
Joaquin Valderrama-KleinIFO-26-128Hand and wrist therapy
Maribeth Underhill-MensahIFO-26-129Pediatric sensory and fine motor
Declined1
Ferdinand RostropovichIFO-26-130Workplace injury and ergonomics
Tables
Intakes
30 sample rows · 20 columnsEveryone who has called, been referred or walked in, from first contact to a booked evaluation and the first visit.
| Patient | Intake number | Reason for therapy | Came to us through | Referred by | Where they are | Date of birth |
|---|---|---|---|---|---|---|
| Tobiah Tennyson-Cole | IFO-26-104 | Workplace injury and ergonomics | Employer or workers' comp | Marrow Creek Cannery | First contact | Apr 7, 1991 |
| Calla Rydell | IFO-26-101 | Hand and wrist therapy | Physician referral | Dr. Lysander Okonjo-Bright, hand surgery | First contact | Jan 1, 1960 |
| Ignatius Okwuosa | IFO-26-102 | Pediatric sensory and fine motor | Physician referral | Harbor View Pediatrics | First contact | Jun 12, 2019 |
| Wilhelmina Haverbrook | IFO-26-103 | Stroke recovery | Physician referral | Lakeway Neurology Associates | First contact | Nov 23, 1958 |
| Marisela Delacroix-Ade | IFO-26-105 | Handwriting and school skills | School | Skagit Hollow Elementary School | First contact | Sep 18, 2014 |
| Cormac Pettigrew | IFO-26-106 | Hand and wrist therapy | Self-referral | — | Insurance check | Feb 2, 1995 |
| Anneke Lindqvist-Amoah | IFO-26-107 | Pediatric sensory and fine motor | Physician referral | Harbor View Pediatrics | Insurance check | Jul 13, 2019 |
| Philomena Szymanski-Orr | IFO-26-109 | Workplace injury and ergonomics | Employer or workers' comp | Pellam Bridge Warehousing | Insurance check | May 8, 1980 |
| Desmond Fairbairn | IFO-26-108 | Stroke recovery | Physician referral | Lakeway Neurology Associates | Insurance check | Dec 24, 1948 |
| Lorcan Vandermolen | IFO-26-110 | Low vision and daily living | Physician referral | Fennimore Family Medicine | Insurance check | Oct 19, 1941 |
| Sunniva Aldridge-Nair | IFO-26-111 | Hand and wrist therapy | Physician referral | Dr. Lysander Okonjo-Bright, hand surgery | Paperwork out | Mar 3, 1994 |
| Rhys Brightwater-Lu | IFO-26-114 | Workplace injury and ergonomics | Employer or workers' comp | Tidewater Case Management | Paperwork out | Jun 9, 1992 |
18 more rows
Payers
6 sample rows · 7 columnsThe insurers and funds patients bring, with the copay and the authorization each one needs.
| Payer | Plan type | Copay per visit | Needs prior authorization | Visits covered a year | Patients |
|---|---|---|---|---|---|
| Evergreen Medicare Advantage | Medicare Advantage | $20 | No | 36 | Wilhelmina Haverbrook, Desmond Fairbairn, Lorcan Vandermolen, Odessa Montgomery-Eze, Barnaby Osterhaus, Augustin Blomquist, Delphine Pemberton-Ito |
| Northfork Mutual PPO | PPO | $30 | Yes | 40 | Calla Rydell, Cormac Pettigrew, Evander Kowalczuk-Reid, Ambrose Castellano-Boyd, Nerys Ouellette-Sharma, Yolanda Ndiaye-Fenwick, Joaquin Valderrama-Klein |
| Railbridge Workers' Compensation Fund | Workers' comp | $0 | Yes | 24 | Tobiah Tennyson-Cole, Philomena Szymanski-Orr, Rhys Brightwater-Lu, Imogen Marchetti-Nkosi, Emrys Dellacroce, Ferdinand Rostropovich |
| Self-pay | Self-pay | $95 | No | 0 | Katarzyna Wojciechowska-Paz, Leopold Ravenscroft |
| Summit Pacific HMO | HMO | $25 | Yes | 30 | Ignatius Okwuosa, Sunniva Aldridge-Nair, Thessaly Whitlock-Adebayo, Caspian Hargreave, Persephone Trevanion-Shah |
| Tri-County Medicaid Managed Care | Medicaid | $0 | Yes | 24 | Marisela Delacroix-Ade, Anneke Lindqvist-Amoah, Maribeth Underhill-Mensah |
Referrers
8 sample rows · 5 columnsThe doctors' offices, schools and employers who send patients our way.
| Referrer | Kind | Office phone | Referrals sent |
|---|---|---|---|
| Dr. Lysander Okonjo-Bright, hand surgery | Physician office | (360) 555-01140 | Calla Rydell, Sunniva Aldridge-Nair, Ambrose Castellano-Boyd, Yolanda Ndiaye-Fenwick |
| Fennimore Family Medicine | Physician office | (360) 555-01141 | Lorcan Vandermolen, Delphine Pemberton-Ito |
| Harbor View Pediatrics | Physician office | (360) 555-01147 | Ignatius Okwuosa, Anneke Lindqvist-Amoah, Thessaly Whitlock-Adebayo, Persephone Trevanion-Shah, Maribeth Underhill-Mensah |
| Lakeway Neurology Associates | Physician office | (360) 555-01142 | Wilhelmina Haverbrook, Desmond Fairbairn, Odessa Montgomery-Eze, Barnaby Osterhaus, Augustin Blomquist |
| Marrow Creek Cannery | Employer | (360) 555-01144 | Tobiah Tennyson-Cole, Imogen Marchetti-Nkosi |
| Pellam Bridge Warehousing | Employer | (360) 555-01145 | Philomena Szymanski-Orr, Emrys Dellacroce |
| Skagit Hollow Elementary School | School | (360) 555-01143 | Marisela Delacroix-Ade, Evander Kowalczuk-Reid, Caspian Hargreave |
| Tidewater Case Management | Case manager | (360) 555-01146 | Rhys Brightwater-Lu, Ferdinand Rostropovich |
Forms and booking
Request an evaluation
FormRequest an evaluationSent to a new patient or a parent so the clinic has what it needs before the first call back.
The patient's full name *
The patient's date of birth *
If the patient is under 18, a parent or guardian's name
The best phone number to reach you *
Your email address
What would you like help with?Hand and wrist therapyPediatric sensory and fine motorStroke recoveryWorkplace injury and ergonomicsLow vision and daily livingHandwriting and school skills
How did you hear about us?Physician referralSelf-referralSchoolEmployer or workers' comp
Which insurance covers the patient? *
The member ID on the insurance card
Send to the clinicAlso included
- Waiting on an insurance checkDigest
- New patientNotificationTells the intake coordinator the moment a new patient arrives so someone calls back that day.
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