To be approved for an intensive treatment program, all patients are required to submit the following Health Information Form. You can download the form by clicking the button below.
Download Health Information FormIn addition to the Health Information Form, we also need to review MRIs and/or all x-rays related to the treated diagnoses. For children with possible subluxation or dislocation of the hip, we also require the most recent written report and hip x-ray (within the past six months).
Please contact us before faxing any completed Health Information Forms, x-rays, or other medical information.