215.340.9555
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Pediatric Therapy Center of Bucks County
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Forms

Please bring these completed forms to your child’s first appointment.

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New Patient Intake Form

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HIPAA Form

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Consent for Medical Treatment of a Minor

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Permission To Exchange Medical Information

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Payment Agreement Form

Contact us today for an appointment and together, we'll help your child reach for a brighter future!

Call 215.340.9555 or send a message through our Contact Form

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