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Therapy Forms

To get started in any of our therapy programs, you will first need a doctor's order from your physician.

In addition to the doctor's order, we will need some information from you during your first therapy session. We have some of these forms available online for your convenience.

Current and Past Medical History form. The information on this form will help your therapist develop a comprehensive and complete evaluation to best address your concerns:

Outpatient Therapy Medical History Intake Form

Terapia ambulatoria Formulario de historia clínica

If you have any questions or concerns about these forms, please arrive early for your first appointment, and we will be happy to assist you with them.

Contact Information
Texas Health Huguley Therapy Services Department:          817-551-2747