Patient Intake Form

Ready to start your child’s journey? Please complete the below form for your desired clinic location with as much information as possible. An intake counselor will then be in contact with you.

Southlake Clinic

For our Southlake clinic intake form, click here.

Fort Worth Clinic

For our Fort Worth clinic intake form, click here.

Frisco Clinic

For our Frisco clinic intake form, click here.

IMPORTANT: please click “Submit Form” ONCE only.