Forms

Our policy requires a prescription from your child’s physician for therapy services every 6 months in order to come to our clinic. We have more success with prior approvals from insurance companies when a doctor provides support that therapy services are medically necessary.

We accept most major insurances and private pay. If you have any questions on how to start receiving therapy services, please call our office at 404-289-4270.

Client Intake Form

Fields marked with an * are required

Disclaimer: This form is for potential clients. By filling out and submitting this form, your child is not guaranteed services with our clinic.

After submission of this form, someone will contact you as soon as possible.

Please be sure that all information is correct before submitting.