New Clients

Thank you for choosing the Pinnacle Pediatric Therapy Group of Lakewood Ranch to help meet your child’s therapeutic needs. We realize that you have options and appreciate the opportunity to assist you with this important process. The forms below include important information including insurance, financial and privacy policies.

Please take the time to read and complete The Client Intake Questionnaire and the Patient Registration Form located at the bottom of this page. This information will be helpful to us in getting to know your child and will also ensure that we have appropriate contact and billing information. We understand that these forms can be time consuming; however it is important that we have as much information as possible prior to your first visit so that we may provide the best possible plan of service for your child.

An evaluation is required to determine your child’s needs and to begin treatment. If your child has any recent evaluations completed by other health professionals (speech therapist, occupational therapist, and/or behavior analyst, psychologist, etc.) please provide us with a copy. If an evaluation cannot be provided, we will discuss the evaluation process and related fees with you. In addition, we will need a prescription from your child’s primary care physician with a diagnosis and recommended services.

If you will be seeking insurance coverage for services, please send a copy of your insurance card (front and back) and contact your insurance company to inquire about coverage and any applicable co-payments.

Please return the following to our clinic or the address listed:

• Client Registration Form
• Completed Client Intake Questionnaire
• Copy of most recent evaluations
• Prescription from your child’s Primary Care Physician with a diagnosis and recommended services
• Copy of insurance card (front and back)

Services cannot be initiated without these documents.

If you have any questions regarding therapy services, scheduling, or billing, please feel free to contact us at 941-758-4707. If you are unsure if your child would benefit from a particular therapy, please contact us to schedule a free screening and our professionals will determine if your child requires treatment

Click here for the Client Registration Intake Form


Click here for the Social and Behavioral Questionnaire

Please complete and return the Client Questionnaire along with the Patient Registration Form and other documents to:

Pinnacle Pediatric Therapy Group of Lakewood Ranch
6215 Lorraine Road
Lakewood Ranch, FL 34202.

Thank you!