Please fill out all the following forms prior to your child's evaluation.
To send electronically:
1. Open the .pdf form link by clicking on it.
2. Fill out carefully.
3. SAVE TO YOUR COMPUTER.
4. Send to info@lowcountrytherapycenter.com as an attachment.
**If you do not save it to your computer before sending, the page will be blank when we receive it and you will need to fill out the form again when you arrive for your evaluation.
Coming in for a speech, occupational of physical therapy evaluation?
Speech Occupational Physical Therapy New Patient History and Intake
Historal de Paciente Nuevo Terapia de Habla, Ocupacional y Fisica
Coming in for a feeding evaluation?
Feeding New Patient History Intake 2;11 years and younger
Feeding New Patient History Intake 3;0 years and older
Coming in for a Language-Literacy / Dyslexia evaluation?
Language Literacy LDC History Intake
Coming in for one of our Social Skills Groups?
Lowcountry Therapy - Beaufort
1873 North Paris Ave
Port Royal, SC 29935