Amayzingkids Pediatric Therapy in Rancho Santa Margarita, CA

Healing the Future

Rancho Santa Margarita, CA - 949-600-5437 - FREE CONSULTATION

You are here: Home / Forms

Forms

Save time in the office by filling out your forms before your appointment! 

scholar_app_icon

New Patient Forms:

New Patient Intake Packet

New Patient Video

Initial Evaluations Forms:

OT- Feeding & Oral Motor Skills

OT (for kids not having a feeding evaluation)

PT – Gross Motor

Speech & Language

Three Day Diet History

Financial Assistance:

scholar_app_icon

Scholarship Application

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 

Take the first step today! 

The Hailey Mayz Foundation

Honoring the memory of Hailey Mayz Vassilaros July 20, 2006 - August 11, 2009  Her Life She was a little girl—a bright, shine-like-the-sun little girl, born to a regular mom and dad. Her name was Hailey Mayz Vassilaros, and she was born with a challenge. In simple terms, she was born too small … Learn More...

Our Team

These aMAYZing people are the engine of aMAYZing Kids. They are the visionaries who manifest the legacy of Hailey Mayz in their work with children each day. Leadership Stephanie Coe, OTR/L, … More

Get Involved

Support the aMAYZing Kids clinic by participating in a Hailey Mayz Foundation fundraising event. … Get Involved

close

In only 3-Minutes learn

the best exercise to help them

RELIEVE PAIN AND

IMPROVE PERFORMANCE 

  • check-square-o
    Strengthen weak areas on the body to increase performance
  • check-square-o
    Promote healing and movement to relieve pain due to injury 
  • check-square-o
    Increase balance making them more agile on the field
envelope-open-o
envelope-open-o