New Client Forms

Here you will find the list of forms needed for an occupational therapy evaluation. Download all forms and complete them fully, signing where needed. Bring these items with you to your appointment along with your doctor’s prescription (referral) for your child to receive services. If you have not obtained a referral from your child’s physician yet, please contact your doctor’s office and ask for a doctor’s referral for OT services. The prescription should say “Occupational Therapy evaluation and treatment” along with any diagnosis your child has.

Your doctor’s office can fax the prescription to Mighty Oaks Therapies at 832-210-1894.

• OT Initial Intake Form
• OT Consent Form
• MOT Attendance Policy
• MOT Media/Video Form
• MOT Rates Policy
  
  

The intake forms for OT services are in pdf format. If you do not have a pdf reader on your device, you may need to download one. Here is an option for you:

The intake forms for homeopathy services are in pdf format. If you do not have a pdf reader on your device, you may need to download one. Here is an option for you: