NEW PATIENT PACKET

The New Patient Packet includes all the forms required to begin your child's therapy services. 
Complete the forms before your child's first visit to have more time to address your concerns

 

TELETHERAPY
CONSENT

Complete the Teletherapy Consent form to participate in a teletherapy session today

 

RELEASE OF INFORMATION

We love to collaborate! 

The Release Of Information grants us permission to send, receive, or verbally exchange your child's medical records with another person, discipline, or practice.

 

MEDIA RELEASE

Complete the Media Release form to have Therapy South feature your child in various media, including our website, displays, brochures, social media and other types of media. Your child's progress can help inspire other families to pursue support or offer ideas they can use at home.

 

Need these forms emailed or mailed?
Contact us, we will gladly email or mail them directly to you!