Please complete and send in forms 48 hrs before your appointment so your therapist can best prepare for your child.
STEP 1. Please complete intake & consent for ALL new patient appointments:
Online fillable New Patient Intake and Consents: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=19604
Or use this printable form: New Patient Form
STEP 2. Please complete one of the following pre-exam forms for EACH Specialist that your child will see:
SPEECH Online fillable Pre-Exam Form: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12103
(Or use this printable form: Speech & Language )
OT FEEDING Online fillable Pre-Exam Form: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12115
(Or use these printable forms: OT- Feeding & Oral Motor Three Day Diet History )
OT FINE Motor/Sensory Online fillable Pre-exam form: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12122
(Or use this printable form: OT – Handwriting & Sensory )
PT (Developmental/Torticollis/Gross Motor: Online fillable Pre-Exam Form for PT : https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12105
(Or use this printable form: PT – Developmental/Torticollis & Gross Motor )
PT Injury/Ortho Online fillable Pre-Exam form: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12023
(Or use this printable form: PT-Injury/Orthopaedic )
STEP 3. If you are using CalOptima insurance, and your child is 3 yrs or older, please complete this form:
IEP Notice: https://www.digitalintakes.com/practices/1185/patients/1/public_url?active_loc=all&form_id=12120
Financial Assistance:
Is my child meeting the age appropriate milestones?
- Learn how to recognize the signs of a developmental delay
- Which type of therapy will benefit your child
- Find out Next Step Solutions if an evaluation is recommended
