Breakthrough Therapy Services New Patient Forms

All new speech and occupational therapy patients/students MUST fill out the required forms as specified below before your initial visit. Please fill out the required forms and either fax to (954) 474-8145, OR scan & email the completed forms to: lesley@breakthroughtherapyservices.com PRIOR to contacting our offices.

Haga click aquí para ver los formularios en español

Speech Therapy New Patient Forms:

Occupational Therapy New Patient Forms