Forms Page

We welcome new and returning patients!

THERAPY THAT IS FUN!
Hope Is Where The Healing Begins

In order to speed up your check-in process, we have provided the necessary forms below to get started. Please complete the Pediatric New Patient Packet and bring in on your first visit, if you are an adult signing your child up for therapies. If you are an adult starting therapy with us, we will need the Adult New Patient Packet.

Pediatric New Patient Packet [Attachment]
Children’s Background Information [Attachment]

Adult New Patient Packet [Attachment]
Adult History Medical Form [Attachement]
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If you have any further questions please call us at 225-272-0150 or email us at neuroinfo@neurotherapybr.com

Insurance Accepted

Our Location

11140 N. Harrell’s Ferry Road
Baton Rouge, Louisiana 70816
Phone: 225-272-0150
Fax: 225-275-0930
Email: neuroinfo@neurotherapybr.com

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©2019 NeuroTherapy Specialists.