New Patient Forms

En Español

Welcome to Children’s Specialized Hospital. Please scroll to the appropriate appointment type below to access your required assessment forms. Please complete and submit the forms at least 24 hours prior to your appointment. This information will assist your provider in preparing for your upcoming visit.

To assist you in completing the New Patient forms you may need the following:

  • Current list of all of your child’s medical providers
  • Current list of all medications and allergies
  • Medical history – including birth, surgeries, evaluations, therapies, etc.
  • Family history
  • Education/school

Please click on your appointment type below and complete the forms that apply to your child to the best of your knowledge. Please note that once a form is submitted, you will not be able to go back to change or edit the content.

Developmental and/or Neurology

Physiatry (Physical Medicine & Rehabilitation)

Psychiatry

Patient Stories

  • After open heart surgery, 7-year-old Lily's biggest concern was the availability of blue ice pops and the unpleasant taste of acetaminophen. “Considering that she had open heart surgery, I'll take those complaints any day!” said her mother, Denise.

    Lily
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  • When reflecting back on his time in the Spinal Cord Rehabilitation Program, Adrian said, “I had fun the entire time.”

    Adrian
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  • “The entire diagnosis process at Children’s Specialized Hospital was so quick – it was a miracle to have answers,”

    Alanna
    Read More

Patient Stories

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