Integrated Therapy patient forms
Feeding program
When your child is referred to our feeding program, our team of professionals conducts a thorough outpatient feeding assessment. A speech-language pathologist, occupational therapist, psychologist, gastroenterologist and registered dietician will evaluate your child’s oral-motor skills, sensorimotor skills, behavioral and nutritional needs. Based on the results of the assessment, we’ll recommend treatment that may include our outpatient, day patient and/or inpatient feeding program.
New patient form (English (pdf) | Spanish (pdf)) Feeding addendum form (English (pdf) | Spanish (pdf))
Please complete both of these forms prior to your appointment and return them to us by either:
Fax: 214-876-5479
If you do not have an appointment but would like to schedule one, please call us at 214-867-6700.
