Our Forms

Save time during your appointment by filling out our forms and sending them to us prior to your visit.

 Take The First Steps to a Better Life for Your Child and Your Family

  1. Contact Us to schedule an appointment and provide us with your insurance information.

  2. Contact your child’s primary care physician and ask them to fax a prescription to our office at 859.426.5665. This allows us to effectively communicate with your child’s physician.

  3. Contact your insurance company to make sure your plan offers benefits for the service you are seeking.

  4. Print off all of our forms below, fill them out at your convenience and email them to us or bring them to your appointment.

Download our forms, fill them out and send them to us prior to your visit.

Registration Form