Premier Children's Therapy Center

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    • Home
    • Services
      • Occupational Therapy
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      • Speech Therapy
    • Contact Us
    • Forms
    • Patient Portal
    • What To Expect
    • Job Opportunities
  • Home
  • Services
    • Occupational Therapy
    • Physical Therapy
    • Speech Therapy
  • Contact Us
  • Forms
  • Patient Portal
  • What To Expect
  • Job Opportunities

Intake Forms

 

Our New Patient Intake Forms are available for you to download and complete at your convenience.

Please return completed forms to our office in order to schedule your first visit.  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
dmclaughlin@premierctc.com 


SAVE FORM to your computer BEFORE entering your data!

Premier Childrens Therapy Intake Forms 01-22 (pdf)

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