Occupational Therapy  |  Physical Therapy  |  Speech Therapy  |  Nutrition  |  Groups

 

 

New Client Information

 

New Client Forms Referral FormResources InsuranceFAQ

 

 

If you have scheduled an evaluation for your child, you may print and complete the following forms to bring with you to your appointment. This will save you time at the clinic on the day of your appointment. If you have any questions regarding these forms, please call 918-663-0606 or email info@therapyworkstulsa.com.

 

 

Download the following forms individually or download the entire new client packet.

 

 

New Patient Information Form

 

Consent to Treat Form

 

Medical Records Release Form

 

Medication Record Form

 

Notice of Privacy Practices

 

Payment and Insurance Policy

 

 

 

All forms are in Adobe Acrobat Reader format. You can download the latest free version here.

 

7608 E. 91st St.

Tulsa, OK 74133

Phone: 918-663-0606

Fax: 918-663-8754

E-mail: info@therapyworkstulsa.com

 

Pediatric Clinic Hours of Operation:

Monday - Friday 8:00 a.m. - 7:00 p.m.

©2006-2009 TherapyWorks, Inc. All rights reserved. For technical difficulties, email the webmaster.