Intake Forms

Please return completed forms to our office in order to schedule your first visit. Please save forms to your computer first before filling out. You can send via US Mail, Fax or email:

Premier Children’s Therapy Center
1000 Holcomb Woods Parkway, Suite #422
Roswell, GA 30076
Phone:  770.641.8070  Fax: 770.641.8078

jallegra@premierctc.com