Full Intake Packet
Medical-Developmental History
Notice of Privacy Practices
Authorized Release of PHI
Financial Agreement Documents
Client Cancellation Policy
Photography Release Consent Form
*Occupational Therapy *Physical Therapy *Speech Therapy
*Splinting and Orthotics *Serial Casting *Consultation on Adaptive Equipment (wheelchairs, walkers, etc.) *Consultation with schools
Phone: 713.807.1131 Fax: 713.807.1141 helpinghands.ped.therapy@gmail.com
Address: 4918 Milam St. Houston, Texas 77006
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