Infants and Toddlers. Ages: Birth to 5 years old.
Pediatric Infant and Toddler Paperwork
School Aged Children. Ages 6- 11 years old.
Pediatric School Aged Children Paperwork
Adults, Non-Pregnant. Ages 12 to 100+
Adult Paperwork
Pregnancy
Pregnancy Paperwork
Extensive History Form are for Fertility and Fatigue
PLEASE PRINT and Fill Out! Complete History Form
If using Insurance, Please fill out this Form
Insurance Form
HIPPA– Please Read!
Hippa
What our clients are saying...
"Dr. Brenda and her staff is absolutely wonderful! I started therapy at 30 weeks pregnant because my baby was breech. After 2 sessions my baby flipped and now at 36 weeks he is still head down thank goodness! I always bring my 22 moth old and Dr. Brenda is so great at having entertaining toys in the waiting area and therapy rooms. Its great to be able to have him at my side during therapy and not having to worry about finding a sitter. Dr. Brenda does a great job at working around him while he plays and making him feel welcome. I am continuing therapy with Dr. Brenda throughout the rest of my pregnancy because I learned that this therapy can sometimes make for an easier labor and delivery. Thanks so much Dr. Brenda!!"
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