![File](/gfx/fileTypes/pdf.png)
Referral Form (hard copy)
Download File![File](/gfx/fileTypes/word.png)
Referral Form (electronic copy)
Download File![File](/gfx/fileTypes/pdf.png)
Child Background Form - Please complete and bring this form to your child's first appointment.
Download FileThe following insurance plans are accepted:
![image-755666-download.png](/var/m_3/39/39a/61985/755666-download.png)
![image-698162-caresource.png](/var/m_3/39/39a/61985/698162-caresource.png)
![image-755667-logo-landing-page.png](/var/m_3/39/39a/61985/755667-logo-landing-page.png)
![image-755668-Paramount.png](/var/m_3/39/39a/61985/755668-Paramount.png)
![image-698164-2017-uhc.png](/var/m_3/39/39a/61985/698164-2017-uhc.png)
![image-698165-optum_2x.png](/var/m_3/39/39a/61985/698165-optum_2x.png)
![image-698163-anthem.jpg](/var/m_3/39/39a/61985/698163-anthem.jpg)
![image-698161-molina_logo.jpg](/var/m_3/39/39a/61985/698161-molina_logo.jpg)
![image-698216-image13.w640.jpg](/var/m_3/39/39a/61985/698218-image11.w640.jpg)
Referral Form (hard copy)
Download FileReferral Form (electronic copy)
Download FileChild Background Form - Please complete and bring this form to your child's first appointment.
Download File