Please complete our Patient Information Sheet prior to your initial appointment.
Please complete the entire form.
To access each form. Please open each form by moving your cursor to the form name and
click to open.
These forms are in Adobe Reader.
You will need to have the Adobe Reader application installed on your device.
Adobe Reader is a free application.
If you do not have Adobe Reader then the web address is listed below.
Adobe Reader will allow you to complete the form with your keyboard..The other option is
After completing the form, it can be sent it as an attachment in your e-mail or faxed to us.
Please click on the form to open.
Copyright 2018 Child Life Therapy,LLC. All rights reserved.
CHILD LIFE THERAPY