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Kids Therapy, Ltd.

Kids Therapy, Ltd.

because every child can shine!

Menu

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  • Services
    • Speech, Language and Feeding Therapy
    • Occupational Therapy
    • Physical Therapy
  • About Us
    • Locations
  • Resources
    • Forms
  • Contact Us

Forms

New Patient Forms:

  • Patient Intake Form
  • Case History Questionnaire

Waivers and Consents:

  • Therapy and Special Program Waiver
  • Food Permission and Dietary Information
  • Consent for Release of Information
  • Video Consent

HIPPA Forms:

  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Notice of Privacy Practices

Clinic Policies:

  • Health Policy
  • Clinic Policies

Locations

Libertyville Clinic
1860 W. Winchester Road, Suite 108
Libertyville, IL 60048
Phone: (847) 573-9486
Fax: (847) 549-6139

Lake Barrington Clinic
22285 Pepper Road, Suite 301
Lake Barrington, IL 60010
Phone: (847) 842-0597
Fax: (847) 842-9882

Additional Links

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  • Resources
  • Contact Us
  • FAQs
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Libertyville Clinic

1860 W. Winchester Road, Suite 108
Libertyville, IL 60048
Phone: (847) 573-9486
Fax: (847) 549-6139

Lake Barrington Clinic

22285 Pepper Road, Suite 301
Lake Barrington, IL 60010
Phone: (847) 842-0597
Fax: (847) 842-9882

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Copyright © 2019 Kids Therapy, Ltd.
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  • About Us
  • Resources
  • Contact Us
  • FAQs
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