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• Life Plan (most recent existing on file)
• If Medicaid or Medicare, only provide the Medicaid number.
• If there is a dual advantage, Managed Care plan, BCBS, United Health Care, Anthem, Aetna, or Fidelis, etc., then we will need the front and back of the current card(s) .
• Scripts are required for OT, PT, or SLP services from the individuals Primary Care provider.
Request for Services can be submitted via portal, email, mail or fax to Presence Intake.
Attn: Presence Intake
Office Address: 115 Fall Street, Seneca Falls, NY 13148
Portal: https://portal.clinictracker.com/?clinicid=pds
Fax:315-515-5194
Email: presenceintake@presencedevelopmental.com
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If you need immediate assistance: