Patient Registration

Scroll down to PATIENT REGISTRATION FORMS below.
Download and Print the document.
Complete the forms and return them to the office together with:
  • a picture of your child's face.
  • copies of front and back of child's primary and secondary insurance cards.
  • referral from your child's health care provider. If your insurance does not require a referral, a prescription from your provider for a developmental-behavioral evaluation is needed. This is our policy even if someone other than your child's health care provider recommended the visit.

Please read introductory letter that is part of PATIENT REGISTRATION FORMS carefully.
It contains important information for your visit.

Registration Packet - PatientRegistrationForms.doc
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