AID-L New Patient Forms
Before scheduling your upcoming visit, we ask that you fill out our new patient intake form so that our therapists and office staff will be able to better serve you. Please click on the link below to access our online form. After the form is completed and submitted, we will call you to schedule your appointment.
HIPAA Compliant Online Patient Intake Forms by FormDr ®
Feeding Questionnaire
If you have concerns about your child’s feeding, this Feeding Matters Infant and Child Feeding Questionnaire© is a great place to start. Early detection and treatment of feeding problems are critical to the long-term health and well-being of affected children. This is an evidence-based tool which may be used to promote early identification of feeding disorders.
You can take your completed Questionnaire to your child's Primary Care Physician in order to request a referral for feeding therapy with AID-L.
Giving Tree Scholarship Application
Please fill out the following form and return to megan.williams@aid-l.org