FAQ – Frequently Asked Questions

I’m interested … how do I get started with therapy?

See our Getting Started page for details. For other questions, read on …

Where are services provided?

We would be happy to meet with you in our office, your home, or out in the community where you are experiencing your difficulties. Our office is located at 1015 W Horsetooth Road Suite 210, Fort Collins, Colorado 80526. We are in the Poudre Valley Plaza (southeast corner of Horsetooth Road and Shields Street), Google map here or

How do I know if these changes are “normal” aging or something more?

We use informal and standardized tests that compare your results to your age-related peers. Some activities DO become more difficult due to aging. If you are wondering if what you or your loved one is experiencing is possibly “something more,” it is helpful to go through an evaluation and, if needed, get help.

I was just diagnosed with Parkinson’s disease. Do I really need therapy right now?

You have already noticed changes that led you to your doctor, with an end result of a diagnosis of Parkinson’s disease. You may not even fully recognize the subtle adaptations you have made to many areas of your life in order to deal with the Parkinson’s up to this point. If you want to remain as healthy as possible we recommend early evaluation and then treatment if it is needed and beneficial.

My doctor says there’s nothing you can really do about Parkinson’s disease other than medication, and told me to see him again next year. Is it true that nothing will help?

Absolutely NOT! We feel very strongly that by providing you with education, training, and resources, you have the ability to alter the course of your disease. There is no cure for Parkinson’s at this time, however there ARE many strategies you can actively engage in that will improve the quality of your life, both immediately and into the future.

My spouse has been falling more frequently around the house and community. What can we do to improve his balance?

Participation in skilled occupational therapy services can help to improve functional strength and balance to decrease risk of falling.

I don’t really “choke,” but I do cough sometimes when I drink water. It feels like it goes down the wrong way. Is this something to be concerned about?

Yes. If food and liquid are taken into the lungs, a person may become seriously ill with aspiration pneumonia, which can be fatal. We recommend a swallowing assessment in your home or our office that will give us good information about what is happening.

I have noticed my handwriting is getting smaller and harder to read. Is there anything I can do about it?

Occupational therapists can provide strategies to improve legibility with your handwriting.

I have been experiencing urgency to get to the bathroom on time and it makes me anxious to go out in public. Is there anything I can do to regain my confidence to leave the house?

Yes! You can meet with the occupational therapist to initiate an exercise program designed to reduce urinary urgency and decrease episodes of incontinence.

My wife has Parkinson’s disease. I can hardly hear her or understand her when she talks to me, especially from the next room or when we are in the car. She says I just need hearing aids. Who’s right?

Perhaps both of you! It is highly likely, however, that her voice IS becoming quieter and her speech less distinct. You may find yourself asking her to repeat what she says nearly every time she tries to talk to you. This can be especially frustrating for both of you. The LSVT LOUD® protocol is the “gold standard” treatment for this type of difficulty. We can work together to re-train her speech and voice.

I have noticed that it seems to take me a very long time to get dressed and ready for the day. Is there something I can do to speed up the process so I can spend time on more meaningful activities?

Yes! Occupational therapy focuses on assisting individuals to be more successful with self-care tasks in order to increase independence and maintain your quality of life.

Sometimes I find I get “stuck” when trying to walk, especially when trying to turn around or when I’m in tight spaces. It seems to get worse when I feel like people are watching me or when I am feeling anxious. Is there anything I can do to move better?

Yes! Participation in skilled occupational therapy services can decrease these “freezing” episodes, providing strategies to improve your mobility to increase your success at home and in the community.

My husband doesn’t read books or the newspaper anymore. He used to love to read. What’s going on?

He may be having trouble seeing things well. He may be having trouble remembering what he’s reading, or finding it difficult to stay engaged and interested. If your loved one is shying away from previously favored activities and hobbies, he may be experiencing cognitive difficulties that make those activities less enjoyable. We can evaluate for any changes that are occurring, and we can make a plan for improving his ability to enjoy those or new activities that bring life satisfaction and quality.

My folks live on their own, but I’ve noticed that everyday activities seem to be getting more difficult for them. How do I know when to step in and help?

As we’ve been told, “Growing old is not for the faint of heart!” It can be hard to know when, as an adult child of your parents, to step in and offer support. Balancing dignity and dependence is challenging but do-able. We would be happy to help you figure out what needs your parents have, and then offer guidance and resources on how to help your parents age as gracefully and with as much independence as possible.

I often “lose the word” I’m getting ready to say, right in the middle of a conversation! It’s embarrassing. I’m starting to avoid conversations. Can you help?

Word-finding trouble can occur for many reasons. Yes, we can do something about it! Those words aren’t usually gone, they’re just at the end of brain pathways that need a little maintenance and strengthening. We can help you learn to use strategies to help you find what you want to say when you want to say it.

Do you accept insurance?

Yes, we are Participating Providers for Medicare Part B insurance, as well as several other plans. If you have insurance other than Medicare we strongly recommend you call your insurance company to learn more about your coverage prior to beginning therapy. You may find the Talking With My Insurance Company page to be helpful in guiding the conversation.

How much does this all cost?

Evaluation and therapy charges are based on medical codes used by all providers. Actual costs vary from patient to patient depending on what services are required. You will be billed only for the services you need.

Northern Colorado Therapy Services, LLC has a fee schedule reflecting charges to all patients, regardless of type of insurance or self-pay status. The Fee Schedule is available upon request.

I understand payment is due at the time of service. What does that mean and what forms of payment do you accept?

For patients with Medicare Part B insurance, we will collect your deductible (if applicable) and 20% copay at the time of service unless you have a supplemental insurance policy that may provide coverage of the 20%. For patients who have insurance for which we are considered in-network providers, all copay/co-insurance applicable to your plan will be followed. For patients who self-pay or who have out-of-network coverage, payment is due in full at the time of service.  We accept payment via cash, check, or credit card.