Pediatric Therapy Services, Inc.

309 Holly Lane w Mankato MN 56001

Phone: (507) 388-KIDS (5437)

Fax: (507) 388-2108

Thank you for the opportunity to work with your child and you, at Pediatric Therapy Services, Inc. We would like to schedule an appointment for your child. Your information is a valuable part of our intake, scheduling, evaluation and treatment process. Below is a link to the necessary documents that must be completed and returned to Pediatric Therapy Services, Inc., prior to scheduling your initial appointment.  Documents can be printed, completed and returned to the business office by fax, mail, or hand delivery.  Patient registration forms must be completed by the parent/legal guardian.  Please note that the parent or legal guardian must obtain a prescription (physician's order for evaluation and/or treatment) before an evaluation can be scheduled.

Information can be returned to:

          Pediatric Therapy Services, Inc.

          309 Holly Lane

          Mankato, MN  56001

             Phone:  (507)388-KIDS (5437)

             Fax:  (507)388-2108

FORMS TO BE COMPLETED BY PARENT/LEGAL GUARDIAN

• Patient Registration Forms

DOCUMENTS TO BE OBTAINED BY PARENT/LEGAL GUARDIAN

• Prescription / Physician’s order for evaluation and/or treatment

DOCUMENTS TO BE OBTAINED BY PEDIATRIC THERAPY SERVICES, INC.

•  IEP/IFSP, if applicable (*please include school district on Release of Information, if your child is on an IEP/IFSP)
• Approved Prior-Authorization/Referral Authorization (provided from your insurance company)

Upon completion and return of the necessary information above, we will be able to schedule your initial appointment. You can mail your information to Pediatric Therapy Services, Inc, Attention Scheduling, 309 Holly Lane, Mankato, MN 56001. Or, you can fax your information to (507) 388-2108, attention of Scheduling.

Again, we look forward to working with your child and you. If you have any questions or concerns, please call us at 507-388-5437.

Thank you for choosing Pediatric Therapy Services, Inc.

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