Jumpstart your first visit

If your child is scheduled for an evaluation:

Please fill out, print and sign the following forms and bring them to your first appointment.  This will expedite the registration process so that we may devote our time to evaluating your child.

Please be sure to contact us should you have any questions about the forms.

New Patient Form Downloads
Welcome Forms Feeding Questionnaire Behavior Questionnaire Provider Notice of Privacy Practices
Evaluation Checklist
  • New Patient Registration Packet (10 Pages)
    Printed, completed, and signed.
  • Provider Notice of Privacy Practices
    Maintain for your records.
  • Insurance Card
    The Children's Therapy Center participates with many private insurance companies.
  • Doctor’s Prescription
    This is required for Physical Therapy, Occupational Therapy, and Speech Therapy evaluations. Please note, your child cannot be evaluated for PT, OT, or Speech without a current prescription.
  • Children's Clothing
    Please have your child wear comfortable clothing (active wear).
  • Arrive Early
    Arrive 10 minutes early to complete registration.