INTAKE FORMS

Please complete the following forms below:

1. Client Intake Form

2. Consent to Treatment

3. Privacy of Information Policies

4. Release of Information Consent

5. Payment Contract Form

6. Consumer Rights Acknowledgment

 

Apex Pediatric Therapy Services

Providing ABA Therapy (Applied Behavior Analysis), Speech Therapy and Occupational Therapy to children and adolescents in Cook, Lake, DuPage, Kane, McHenry and Will Counties.  

PHONE US
EMAIL US
HOURS

(847) 604 0955

Mon: 8:00am - 8:00pm

Tues: 8:00am - 8:00pm

Wed: 8:00am - 8:00pm

Thu:  8:00am - 8:00pm

Fri:    8:00am - 8:00pm

Sat:   8:00am - 6:00pm

Sun   8:00am - 6:00pm

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Copyright © 2017 APEX PEDIATRIC THERAPY SERVICES, LLC. All Rights Reserved