Patient Forms

Here you will find all of our intake forms, policies, & questionnaires.  Once you click on the link you will need to enter your email address. You will then receive a unique code to start filling out your forms. This will allow you to save your work and come back to finish at another time. When you have submitted the forms they will be securely transmitted to our staff. You will receive an email confirmation and be able to download the intake packet for your records.

Please submit the forms 48 hours before your initial evaluation to allow your new therapist time to review.

New Patients:

Please fill out the New Patient Intake Packet 2020 and the questionnaire (s) specific to the discipline your child is going to be seen for.

Current Patients:

If you are needing to update your yearly paperwork, please select the 2020 Patient Information Update Packet. If you need to add someone to your Authorization to Release Healthcare Information, please select Authorization to Release.

 

 

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For any questions, please call 859-224-2273