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

  • “Dr. Quezada was wonderful,” said Melissa. “She was able to really connect with Alex and he felt the benefit of working with her. Not only did he enjoy his time with her, he saw the value of their work and how it was helping him.”

    Alex
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  • It’s hard for me to get in most people’s heads that my body is the way it is but when I go to CSH, it feels like they have quite more of an understanding, so it is more comfortable for me.”

    Victoria
    Read More
  • “Jaylon’s therapists were great with him. Their overall patience stood out to me. They were always there to help give advice and answer questions.”

    Jaylon
    Read More

Patient Stories

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