New Patient Forms
Please download, print, and complete the following documents prior to your first appointment.
1. Case History
Provides important background information about your child, including complete medical history and developmental history.
2. Consent for Services
Discusses important Therapy Connections policies and provides authorization for our team to evaluate and/or treat your child.
3. Cancellation and No Show Policy
Important information about our policy for missed, late, and cancelled appointments due to various circumstances.
4. Arbitration
Agreement for how any disputes or controversies will be handled between Therapy Connections, LLC and patient and/or patients' parents or legal guardians.
5. Release of Information
Authorization to release medical records, testing, and other information necessary to provide treatment to your child.
6. Insurance Information
Provides us with a complete list of your applicable insurance so that we may appropriately handle any billing.
7. Orthopedic Therapy Form
Provides us with a complete list of your applicable insurance so that we may appropriately handle any billing.
Other Specialty Forms
Please download, print, and complete the following documents as requested by your therapist