Pediatric Speech Therapy | Pediatric Physical Therapy | Pediatric Occupational Therapy

	Patient Referral ------------------------ Patient Referral Form
	Attendance Policy ------------------------ Attendance Policy.doc Attendance Policy.pdf
	Privacy Policy Consent ------------------------ Private Policy Consent.doc Private Policy Consent.pdf
	Patient Information ------------------------ Patient Information.doc Patient Information.pdf
	Authorization for Treatment ------------------------ Authorization Form.doc Authorization Form.pdf
	Call Back Request ------------------------ E-mail this form to have Magnolia Pediatric contact you.

Our Pediatric Therapy Services Magnolia Pediatric Therapy cares for children with many types of challenges including, but not limited to,
•	Cerebral Palsy
•	Spina Bifida
•	Autism and Pervasive Developmental Disorders
•	Congenital Disorders
•	Chromosomal Disorders
•	Other Neurological Disorders
•	Developmental Delays
•	Sensory or Motor Impairment
•	Hearing Impairments
•	Articulation, Fluency, and Voice Disorders

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•	Physical therapy, Occupational therapy and Speech-Language Pathology services
•	Evaluation and follow-up treatment
•	On-site consultations available for orthotics and adaptive equipment needs. Wheelchair assessments scheduled by appointment
•	Assessment for augmentative/alternative communication needs
•	Oral-motor evaluations and follow-up treatment for motor speech and feeding disorders
•	Family consultation provided on an on-going basis. Therapy goals developed based on individual and family needs
•	Therapy available in home and daycare for the Early Intervention and medically fragile populations
•	Multidisciplinary team approach in coordination with Early Intervention personnel