Thank you for selecting Comprehensive Therapy Children’s Center for your child’s therapy needs. In order to expedite your first visit, we have provided the checklist below. Please print this page and attach it to the top of all completed forms.

___ Prescription from your child’s Pediatrician or PCP including diagnosis and therapy required
___ A copy of your child’s most recent Evaluation (if applicable, not more than 12 months old)
___ Current Insurance Card(s)

Download the following forms for completion & signature
___ Privacy Policy
___ HIPAA Disclosure
___ Financial Policy
___ Record of Disclosure
___ Patient Information
___ Authorization for Release of Information
___ Assignment of Benefits
___ Parent Questionnaire

Please write any additional notes you may have here and bring with you to your first visit.