Both parents and physicians can request therapy services through our referral form. If you or someone you know is looking for therapy, please Request Care.

If you are a NEW Elite Therapy Center client and need to fill out our New Patient Intake Form. Click to request this PDF document from our administrative team.  Please fill out, and email back to our office. When finished, please click the email button at the top and email to: kim.kennedy@elitetherapycenter.org

** Regulations require that forms must be signed and authorized with a witness signature. We will verify this upon your visit.

>> Request a New Patient Intake Form

SAMPLE BELOW:Elite Therapy Center New Patient Intake Form

>> Elite Therapy Attendance Policy

>> Sick Policy

It is the policy of Elite Therapy Center that in the event the patient becomes ill, Elite Therapy Center will utilize the following guidelines for re-admitting patients into treatments as listed below:

Cancel appointment if no one or more of these conditions are present:

  • Oral temperature of 100 degrees or above
  • Vomiting, nausea or severe abdominal pain
  • Marked drowsiness or malaise
  • Sore throat, acute cold, or persistent cough
  • Red, inflamed, or discharging eyes
  • Acute skin rashes or eruptions
  • Swollen glands around jaws, ears and neck
  • Suspected scabies or impetigo
  • Any skin lesion in the weeping stage
  • Earache
  • Pediculosis (head lice)
  • Diarrhea: runny, watery or bloody
  • Other symptoms suggestive of acute illness

Return to Therapy Guidelines:

  • Fever free for full 24 hours
  • Symptom free of vomiting, nausea or severe abdominal pain
  • Symptom free of marked drowsiness or malaise
  • Symptom free of sore throat, acute cold, or persistent cough
  • Treated pediculosiis (head lice)
  • Symptom free diarrhea: runny, watery or bloody
  • All health conditions listed above have been treated and resolved