Forms

The following forms have been included here on our website for your convenience. Please download each of them, review the information, and complete them prior to your initial visit to Pediatric Therapy Clinic.

If you have any questions about these forms or need additional information, please don’t hesitate to contact us at (406) 256-1680. Our team is always happy to help.

Insurance and Emergency Care Information

Download a copy of  Insurance and Emergency Care Information

Download

Case History

Case History

Dowload

checklist

checklist

Download

Financial policy

Consent

HIPAA

Photo Release

Contact Us

Pediatric Therapy Clinic, Inc
1610 Poly Drive
Billings, MT 59102

Call: 406.259.1680

Open Monday to Friday 8:00am – 5:00pm