If you’re considering pediatric therapy and want to talk with caring pediatric therapy specialists who are passionate about guiding your child to reach their goals, call 219-513-8311 or complete the form below to request an appointment with Milestone Therapy.
Franciscan Health Pediatric Therapy Center Olympia Fields Forms
Milestone Therapy Forms
Consult and Evaluation
Expect a comprehensive evaluation and parent consultation. See what that looks like on our pediatric therapy page.
Arrival
Come 15 minutes before your child’s appointment. (We may reschedule patients who arrive late or don’t come early enough to complete new patient paperwork.)
Franciscan Health Pediatric Therapy Center Olympia Fields Forms
Outpatient Therapy Orientation
Patient Intake Data Sheet
Patient Medical History
Consent for Medical Treatment
Authorization for Payment Release of Responsibility
HIPAA
MST forms
Milestone Therapy Policies
Illinois Early Intervention
Click here to learn more about Milestone and Early Intervention
Indiana First Steps
Click here to learn more about Milestone and First Steps School
Thank you for letting us work with your child, and we look forward to meeting you!