Clinical Forms

For Your First Visit

Thank you for choosing High Hopes to meet your child's therapy needs!

Please print and fill out the following clinical patient forms and bring them to your first visit:

  1. 1.) Medical History Form
  2. 2.) Clinical Admissions Packet
  3. 3.) Clinic Parent Handbook

Other Forms if Applicable:
Feeding Evaluation - Food Diary ~ Food Preferences Checklist
Therapy Scholarship Application

  • Upcoming Events

    1. Sensory Friendly Movie- “Despicable Me 3”

      July 1 @ 10:00 am - 11:30 am
    2. SPIRIT DAY at High Hopes

      July 20
    3. SPIRIT DAY at High Hopes

      August 16
  • Testimonials

    "Teachers & therapists love the work they do"

    Stories of Hope, elleMeet our Elle.  Born in June 2010, Elle was six weeks early and spent almost two weeks in the Neonatal Intensive Care Unit learning to ea...

    Read More Testimonials »

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