New Patient Intake Form

Welcome to Milestone Therapy. We look forward to serving you and making a difference in the life of your child. To get started, it is important for us to gather as much accurate information on the front end so we can begin the process as effectively as possible. Prior to our first appointment and/or session together, we will need to have our New Patient Intake form filled out. If you would like to complete this ahead of time, we have included it here on our web site for your convenience.

Click here or on the image at the right to download the form as a PDF.

© 2013 Milestone Therapy



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