Enroll

How to enroll

Download the appropriate intake packet below or we can send you an intake packet with information about our programs as well as various applications and forms to be completed.  Please contact us if you have any questions about which forms are needed. (Note: You will need Adobe Acrobat or a similar PDF reader to view these forms).

Forms
Pediatric
Adult
Newborn Hearing Screening
Central Auditory Processing

Advanced Beneficiary Notice regarding Durable Medical Equipment
Advanced Beneficiary Notice Form

Contact
Contact Information

Credit Card
Credit Card Payment Information

Insurance
Insurance Information

Medical Release
Medical Release

Privacy Practices
Privacy

Once we have received your completed packet in the mail we will call you to set up an initial visit.

* For your convenience we do bill insurance and accept Medicaid for therapy services.