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New Patient Information

Welcome to EJ Therapy! Starting your care journey with us is a simple, seamless process designed with your comfort in mind. Start by requesting an appointment online or by phone. Our office will contact you to discuss your child’s needs, confirm the appropriate service, and schedule the evaluation.

Helpful Resources

Need a physician referral?

Some services or insurance plans may require a referral from your child’s healthcare provider. Our office will let you know if one is needed after reviewing your appointment request.

New Patient Intake Paperwork

Already Scheduled?

Complete the intake paperwork only AFTER your child’s evaluation has been scheduled.

Before your first visit you will be required to fill out the New Patient Intake Forms. You may complete the form digitally or a copy will be availalbe at the front desk at your first visit. 

CLICK HERE to Download

Once you have downloaded the form, type in your information. Then choose your location below, and upload the completed form. You do not need to print this out, this is a fillable form. 

Wooster Form

Canal Fulton Form

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