Please bring the completed registration forms (available below as PDFs) and your child's insurance card to his/her evaluation.  

Registration Form

Case History

Privacy Policy

Patient Consent

Authorization for Disclosure of Health Information

Attendance Policy

Speech Therapy Case History (optional)

 

**If you have a co-pay, please be prepared to pay that at the beginning of your child's appointment. If you are not sure what your insurance policy's co-pay is for occupational and/or speech therapy, we can assist you in finding out that information. We accept cash and checks only.

Return to home