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StoreySmith Pediatric Clinic

StoreySmith Pediatric Clinic

SSPC Maine

  • Physical Therapy
  • Occupational Therapy
  • Speech & Language
  • Summer Groups

Falmouth, Maine • 207-781-0022

Important Forms & Procedures

New Patient Referral Procedure
Please complete the following forms prior to the evaluation. Once completed please:

Scan/ email them to the evaluating therapist
Fax them to: 207- 829-8008
Bring them with you at the time of the evaluation.
Please contact our intake specialist at 207-829-8007 with any questions.

OT Intake Form

Speech Intake Form

PT Intake Form

NEW Cancellation policy

HIPPA-notice

 

 

 

 

 

 

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