Call Marat at 228-9160 or send us an email at reception@capitalkidsot.com
Before we can schedule an Occupational Therapy and Speech Therapy Evaluation appointment, we need a referral from your physician, your insurance information and the forms below
We value the information that parents can provide during the evaluation. Parents are a part of the initial intake and are welcome to stay for the full Occupational Therapy and Speech Therapy Evaluation.
Welcome Letter (pdf)
DownloadAdmission Sheet (pdf)
DownloadDevelopmental Questionnaire 2018 (pdf)
DownloadAuthorization for the Release of Medical Information (docx)
DownloadPrivacy Notice (pdf)
DownloadPhoto Release Form (pdf)
DownloadMultiple Service Form (pdf)
DownloadRelease for Appointment Reminders (docx)
DownloadCopyright © 2019 Capital Kids Therapies, LLC - All Rights Reserved.