Returning Patients

Returning Patients

Welcome back!  We look forward to another opportunity to serve your family.  Please contact our office at 503-657-8903 or send an email letting us know you wish to return for services at our clinic.  We will need to update our patient files with any changes in your contact and insurance information.  We will also need:

An updated Prescription/Written Referral
Please contact your child’s physician directly to request the prescription to be faxed to our office at 503-650-4302.  It will need to include the order for an evaluation and/or therapy services, a diagnosis, and diagnosis code.

Completed Returning Patient Packet
The following packet is an Adobe fillable form which, after being downloaded can be filled in, saved and emailed back 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.

This form can also be downloaded, printed and then faxed or mailed to our administrative office: 610 High Street, Oregon City, OR 97045

  Returning Patients

Scheduling an Appointment
Once we receive your completed paperwork and the prescription from your doctor, our scheduler will contact you to schedule an appointment.


Scroll to top