Patient Forms

Patient Forms

To expedite your child’s first visit with us, please download and complete the following patient forms:

New Patient Information

– Contact Information, Consent for Service, Policies

HIPAA Notice

– notice of privacy practices

How to Set Up an Evaluation

Step 1:

The family can call PTC at 713-772-1400 or email Laila Royce to set up an evaluation.

Step 2:

PTC collects the patient’s demographics (Contact Information, Patient’s Diagnosis/Condition and Insurance).

Step 3:

PTC verifies benefit coverage with the patient’s primary insurance. If necessary, PTC will help the family obtain a referral authorization from the primary care physician. PTC will discuss the benefits quoted with the patient’s parent/guardian.

Step 4:

Each patient is carefully paired with a therapist who will then call the patient’s family to set up an appointment for an evaluation.

Step 5:

The patient receives an initial evaluation and is given recommendations. A “Standing Appointment” is made.

Helpful Links

Sources PTC recommends for additional information:

Contact Us

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