Pediatric Therapy Services

Please complete the following forms below and attach them in an email to intakes@apexped.com and we will get back to you shortly in regards to scheduling an assessment session:

1. Client Intake Form
2. Consent to Treatment
3. Privacy of Information Policies
4. Release of Information Consent
5. Payment Contract Form
6. Client Rights Acknowledgment
7. Parent Handbook

Also include a copy of the child's diagnostic evaluation report and a copy of the front and back of your insurance card.