• Home
  • About Us
    • Testimonials
    • Student Opportunities
    • Volunteer Opportunities
  • Services
    • Physical Therapy
    • Occupational Therapy
    • Speech Therapy
    • Feeding Therapy
    • Counseling & Social Services
  • Patient Resources
    • Registration Forms
      • New Patient Packet
      • Pedi H&P
      • Pedi SS Screening
    • Consent for Release of Information
    • Physician Referral
    • Feeding Therapy Screening Form
    • Developmental Milestones
      • 3 Months
      • 6 Months
      • 12 Months
      • 18 Months
      • 24 Months
      • 36 Months
      • 48 Months
    • Red Flags
    • FAQs
    • Links & Community Partners
  • Locations
    • Richardson
    • Lewisville
    • Irving
    • Rowlett
  • Contact Us
  • Facebook

Phone Number

Call Today 210.410.9322

New Patient Packet

Below is the new patient packet you will need for your first appointment. Please take a few minutes to print, complete, and bring these forms with you. We look forward to seeing you and your child.

Forms are in Spanish and English for your convenience.

  New Patient Packet Forms – English

   New Patient Packet Forms – Spanish

©  Pediatric Rehab 2018 | All Rights Reserved