All children must have a referral from an M.D. in order to receive speech, occupational or physical therapy. Regardless of the system a child is being seen under (private patients, those seeking insurance reimbursement, those seen through CPSE or CSE, early intervention, etc.) all must have an M.D. referral. This is the law in New York State. A physician’s report including a recommendation for therapy, a letter of referral, or a prescription is acceptable. A diagnosis is required by most insurance companies, (ICD-9 or DSM IV codes) and can only be given by the M.D. (pediatrician, neurologist, etc.) involved in your child’s care. We will be happy to work with the M.D. regarding the most appropriate diagnosis. An M.D. prescription is required prior to initiation of treatment and should be renewed annually.