Forms

^{PLEASE READ BEFORE PRINTING}

^{Please call during our in office hours to speak to the office staff to verify openings for new clients before proceeding:}

^{Prior to accepting any new clients (Therapy or Testing's) we require a New Client Intake Form as well as a current copy of insurance cards. You may print the New Client Intake Form below, complete in it's entirety, include a copy of your insurance card(s) and either mail, fax or email (please note that email may not be secure) to us using the information located at the bottom of this web-page. You will only need to completed the Intake Form prior to becoming a new client, as signature pages will be completed during the Intake.}

^{***IF the Registered client is not his/her own legal guardian,}

^{we will need the legal guardian along with the registered client at the first scheduled visit.}

^{If this is absolutely not possible then please call to speak with office staff to make special arrangements.***}

^{Once we receive the completed New Client Intake Form and a copy of your insurance card(s) we will review the information provided and call you to schedule an appointment if available or inform you of our current wait list.}