New Patient Forms

newPatients

New Patient Forms

Please select from the options below to download a New Patient Packet.  These files include forms with fillable fields which need to be downloaded and saved on your computer before entering your information.  Once the file is saved: open it in Adobe Reader, complete the forms, and email to our confidential email at schedule@nt4kids.org *In order to save your progress on a form, you will need to have an up-to-date version of Adobe Reader for your computer’s operating system.

If you prefer to complete the forms by hand, these forms can also be downloaded, printed and, once completed, faxed or mailed to our administrative office: 610 High Street, Oregon City, OR 97045

Occupational Therapy

Occupational Therapy – Kaiser

Physical Therapy

 Feeding Services – additional information is needed if you are seeking Feeding Services.

 Mental Health Services

Once we receive your paperwork and the prescription from your doctor, our scheduler will contact you to schedule the initial evaluation.

If we are billing insurance, it will be helpful for you to contact your insurance company for benefit and coverage information.  Our billing office will also contact your insurance company to verify benefits for your plan. This is not a guarantee of coverage, but will give us helpful coverage information.  More information about the initial evaluation and answers to frequently asked question can be found here.

**Having trouble viewing or downloading our PDF files?  You may need to download a newer version of Adobe Reader

 


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