New Patient

Forms

New Patients:

On your first visit, We recommend that patients wear something that is comfortable and loose fitting, such as exercise clothes, and sneakers.

To save your time, here are important forms that you should print out, complete and bring with you to your first visit.

For Self-pay clients who will NOT be submitting your visits for insurance reimbursement. :


For Private Insurance Clients who are planning to utilize your private insurance:

Physician Referral Form (Please print this form out and bring it with you to your physician appointment for the physician to sign. You can skip this step if your physician has already wrote the prescription for “Occupational Therapy”).


FOR PHYSICIANS:

For the convenience of our referring health practitioners, you can downloand and print our referral script.