Patient and Provider Forms
Whether you are a provider looking for a referral form or a parent looking for our intake forms, you have come to the right spot! We are here to help. Please click on the links below to find what you need:
Downloadable forms:
- Referral form
- New Patient Intake – English (Texas and North Carolina Patients Only)
- New Patient Intake – Spanish (Texas and North Carolina Patients Only)
Online Intake portals (Washington state clinics only):
- Lakewood, WA patient Intake
- Bellevue and Bothell, WA patient intake (non-Feeding patients)
- Bellevue and Bothell, WA patient intake (Feeding patients)