New Patient Forms

En Español

Welcome to Children’s Specialized Hospital. Please scroll to the appropriate appointment type below to access your required assessment forms. Please complete and submit the forms at least 24 hours prior to your appointment. This information will assist your provider in preparing for your upcoming visit.

To assist you in completing the New Patient forms you may need the following:

  • Current list of all of your child’s medical providers
  • Current list of all medications and allergies
  • Medical history – including birth, surgeries, evaluations, therapies, etc.
  • Family history
  • Education/school

Please click on your appointment type below and complete the forms that apply to your child to the best of your knowledge. Please note that once a form is submitted, you will not be able to go back to change or edit the content.

Developmental and/or Neurology

Physiatry (Physical Medicine & Rehabilitation)

Psychiatry

Patient Stories

  • “I’ve helped my buddy go from swimming with a noodle to swimming by themselves and it’s a really great feeling to be able to make some sort of difference on a child’s life and help them be able to swim,” remarked Emma.

    Emma
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  • “I love that the team incorporates whatever Kruz is interested in and makes it therapeutic. He loves balls, so they do a lot of catching and throwing to help him get more range of motion. They also play with a lot of bubbles which he loves.”

    Kruz
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  • “Not every child is the same, especially with down syndrome, and CSH was great at communicating where his strengths were, where his weaknesses were and what we should continue doing.”

    Sebastian
    Read More

Patient Stories

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