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Home > Our Services > Physical, Occupational & Speech Therapies

Physical, Occupational and Speech Therapies

For your convenience, below is a list of the most commonly used forms in our office. If you are a new patient, you can download and complete the new patient forms prior to your first appointment.

New Patient

• Case History Form
  
• Authorization to Disclose Protected Health Information through the use of photography, video/audio taping and/or interviewing

Student Observers

• Observation Hours Request Form

Call (757) 668-7083 or email ptotst@chkd.org for an appointment or with any questions you may have regarding PT/OT/Speech.