Patients may be self-referred or referred by physicians, third-party payers or other health-care professionals. We are an in-network provider for many insurance companies in the state of Oregon. If your plan is not listed below, please call our office at (503) 666-1333 for information about your plan's access to our pediatric specialists.
Please try to bring the following with you for your initial evaluation.
- Doctor's Prescription
- Insurance Card
- Previous reports/evaluations/IEPs (if any)
The following forms are part of our patient registration process and are available here for your convenience. The first 8 forms listed are necessary for all patients to complete. Please ask our staff if you need to fill out any of the additional forms listed. The forms are in PDF format and you can download, open, and print so you can complete them prior to your appointment. Our office can also mail you these forms or you are welcome to fill them out in our office.
you a professional, do you wish to refer a pediatric client to therapy?
Use this form
and fax or email directly to