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Let’s Start Working Together.
Medical forms are an important part of patient records. They help our team understand your child’s health concerns, family health history, manage billing, and protect your privacy. It is important that you provide accurate information at your first visit to help your therapist and other team members coordinate the best decisions for your plan of care.
- Request for Services Form
- Physician Order Form
- What to Expect during the Evaluation
- How to Use Fusion Patient Portal
- Case History Form
- New Patient Data Form and Financial Policy
- Attendance Policy Form
- Consent to Video-Tape and Photograph Therapy Sessions
- HIPPA Communication Compliance Form
- HIPPA Compliance Form
- Covid-19 In-Person Therapy Waiver
- Intake Forms Packet