New Patient Forms
We understand that your first visit can be both exciting and overwhelming. To ensure that your child’s experience is as smooth as possible, we’ve prepared everything you need to get started. Please take a moment to read through the sections below, where you’ll find essential information and downloadable forms that need to be completed prior to your first appointment.
Preparing for your first visit is simple!
Below are links to essential documents that all new patients need to fill out prior to their first session. These forms are crucial for us to understand your child’s unique needs and to provide the best possible care.
– Consent for Services
– Communication Preferences
– ATTENDANCE_CANCELLATION POLICY
– Pediatric Intake Form
– Payment Policy
– HIPAA Notice
– HIPAA Acknowledgement
Please download and complete these forms at your convenience. You can bring them along to your first appointment to help expedite the registration process.
Contact Us
Have questions or need further assistance with the forms? Don’t hesitate to reach out to us. Our staff is here to assist you with any inquiries and ensure you feel confident and prepared for your child’s first visit.
We look forward to welcoming you and your child to Bloom Pediatric Therapy.