ESP Benefits Department


Email Us

Tel: 225-928-5449
Fax: 225-928-5429



You may submit your request to receive therapy services for your child online.  Please complete the form to the left COMPLETELY. You may also download the form and submit manually. Click here.


  • Take a picture or scan both sides of your insurance card.


  • Within 24 - 48 hours of submission, you will receive an email from our Benefits Department with the results from your insurance verification.


  • You will then receive a "Welcome" email with a "New Patient Information" packet attached.  Please complete the packet in its ENTIRETY.


  • Submit the completed packet via upload or email below.


  • Within 24 business hours of receipt, you will receive a call from your child's therapist(s) to schedule your evaluation or first visit. 

New Patient Information


Now, that you have received the results from your Insurance Verification, you are invited to complete the "New Patient" packet.  This form is ONLINE FILLABLE and can be downloaded, saved and should be submitted below.  Click here to download.

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Opening hours

Mon - Fri: 8am - 5pm