For ALL Patients:
KIDNETICS now requires a physician referral for ALL therapies. If you are a parent interested in services, please print out the below referral form and take it to your child’s doctor for completion. The doctor’s office can then fax the form to our business office at (864) 331-1446, or you can return it along with the paperwork outlined below.
In addition to the physician referral form, please complete the below New Patient Packet, which includes:
- Registration form
- Consent to treat
- Parent questionnaire (please complete the one that corresponds to your child’s age)
- KIDNETICS attendance policy
How Can We Help?
For Feeding Evaluation Patients ONLY:
For a feeding evaluation, if you have not been contacted by our business office, please complete the above forms AND the feeding clinic referral form and feeding specific questionnaire, both of which should correspond to your child’s age.