New Client Form
New Client Form – Please print and fill out. This form will provide us important information regarding your child’s developmental and medical history. Bring this with you along with your insurance information.
Physician’s Prescription/Referral Form
Physician’s Prescription – We do require a physician’s prescription be on file prior to any first visit with us. We will contact your child’s doctor for you, but in some cases we may need your assistance. If your child has not seen their physician in a while, some doctors may require this in advance of writing a prescription. If you will be seeing your physician for this purpose, he/she can fax their prescription to us at 1-844-633-7260. We have included a Physician Referral Form below for your convenience.