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.

SAMPLE BELOW:Elite Therapy Center New Patient Intake Form

> Request a New Patient Intake Form

> Elite Therapy Attendance Policy