Get Started
Find the forms your child needs in a question or two, then see what happens next.
A question or two
Find your forms
Tell us a little about your child and we'll show you exactly which forms to fill out, in order.
My child is new to Beyond Limits
Your forms
You'll also need a referral from your child's pediatrician before we can add your child to our waitlist. Give us the doctor's name and we can request it for you.
This is all you need for now. After your child's first visit we'll agree together which therapies to start, and you'll fill out a short form for each one, on your phone at the front desk or at home.
- General Admissions Form Every new therapy patient. Send it with your pediatrician's referral. Fill out online General Admissions Form (opens a secure form in a new tab)
- Feeding Intake Form About 12 minutes. Needed before we can schedule a feeding evaluation. For: Yes Fill out online Feeding Intake Form (opens a secure form in a new tab)
Yes:
Please bring 2 or 3 foods your child likes, 2 or 3 foods they find hard to manage, and a drink to the feeding evaluation.
Not sure:
Start with the General Admissions Form, then call or text 770-917-5737. Our new patient advocate can talk it through with you.
Online forms go straight to our office through a secure, HIPAA-compliant connection. We need your completed forms before we can schedule your child's appointment.
My child needs a hearing test
Your forms
To get started, simply complete the age-appropriate Audiology Admission Form. A referral from your child's pediatrician is also required before we can schedule a hearing test. We're happy to coordinate the referral for you, or if you already have one, you can email it to office@blptc.org or fax it to 770-917-5740.
- Audiology Admission Form Newborn to 12 months For: Newborn to 12 months Fill out online Audiology Admission Form (opens a secure form in a new tab)
- Audiology Admission Form 13 months to school age For: 13 months to school age Fill out online Audiology Admission Form (opens a secure form in a new tab)
Online forms go straight to our office through a secure, HIPAA-compliant connection. We need your completed forms before we can schedule your child's appointment.
We are a Current Patient & Want to Add Another Therapy
Your forms
These are the forms we used to hand out on a clipboard. Fill them out here on your phone, or at home. You don't need General Admissions again.
- Speech Therapy Brief Admissions Form About 6 minutes. Tells your child's evaluating therapist what to look at. For: Speech therapy Fill out online Speech Therapy Brief Admissions Form (opens a secure form in a new tab)
- Occupational Therapy Brief Admissions Form About 9 minutes. Tells your child's evaluating therapist what to look at. For: Occupational therapy Fill out online Occupational Therapy Brief Admissions Form (opens a secure form in a new tab)
- Physical Therapy Brief Admissions Form About 9 minutes. Tells your child's evaluating therapist what to look at. For: Physical therapy Fill out online Physical Therapy Brief Admissions Form (opens a secure form in a new tab)
- Feeding Intake Form About 12 minutes. Needed before we can schedule a feeding evaluation. For: Feeding therapy Fill out online Feeding Intake Form (opens a secure form in a new tab)
Feeding therapy:
Please bring 2 or 3 foods your child likes, 2 or 3 foods they find hard to manage, and a drink to the feeding evaluation.
Online forms go straight to our office through a secure, HIPAA-compliant connection. We need your completed forms before we can schedule your child's appointment.
Beyond Limits Asked Me to Complete a Form
Your forms
We'll always let you know when one of these is needed, so there's no need to fill them out ahead of time.
- Patient Update Form Every current patient, once a year. We send the link near the end of the year. For: Yearly patient update Fill out online Patient Update Form (opens a secure form in a new tab)
- Telehealth Consent Form When your child's therapist offers telehealth and your insurance requires this form For: Telehealth consent Fill out online Telehealth Consent Form (opens a secure form in a new tab)
- Payment Consent Form Lets us charge your share of each session to a saved card For: Keeping a card on file Fill out online Payment Consent Form (opens a secure form in a new tab)
- Medical Records Request and Disclosure Needed before we can discuss your child's care with, or send records to, anyone other than your child's doctor For: Medical records release Fill out online Medical Records Request and Disclosure (opens a secure form in a new tab)
Online forms go straight to our office through a secure, HIPAA-compliant connection. We need your completed forms before we can schedule your child's appointment.
I'm a veteran with a VES appointment
What to do
You don't need any of our patient forms. Bring your photo ID and your VES appointment details.
Healthcare Provider Referrals
What to do
Please fax or email a referral to our office. Once received, our team will contact the family to coordinate admissions and discuss the next steps for scheduling an evaluation.
Fax: 770-917-5740
Email: office@blptc.org
From forms to first session
What happens next
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01
Admissions & Referral
Getting started is easy! Call our office or complete the appropriate admissions forms online. Therapy patients complete the General Admissions Form (plus the Feeding Intake Form for feeding concerns), while audiology patients complete only the age-appropriate Audiology Admission Form. We'll coordinate the referral with your pediatrician or contact you if we receive a referral directly.
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02
Scheduling & Availability
Once we receive your child's referral and completed admissions forms, we'll review insurance benefits and scheduling availability. Depending on availability, your child may be placed on a waitlist.
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03
Your Child's Evaluation
Your child will receive an evaluation based on their referral. We'll review the results with you, discuss your child's needs, and determine whether ongoing therapy services are recommended.
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04
Next Steps
For ongoing therapy, we'll obtain the physician's signature on the Plan of Care and any required insurance authorization. Once approved, we'll call or text you to coordinate scheduling. For audiology, most children complete their hearing evaluation in one visit, with follow-up recommendations as needed.
Common questions
Do I need a referral?
Yes. We need a referral from your child's pediatrician and completed admissions forms before we can schedule an evaluation or add your child to our waitlist, if applicable.
Please provide us with the name of your child's pediatrician, and we'll request the referral for you. If you already have a referral, you may email it to office@blptc.org or fax a copy to 770-917-5740.
Why is there a second form for each therapy?
The General Admissions Form covers insurance, consents and your child's history for the whole clinic. The short form for speech, occupational, physical or feeding therapy tells that therapist what to look at. You fill it out once we've agreed which therapies your child will start, whether that's right after the first visit or years later. Scan the code at our front desk, or choose "We are a Current Patient & Want to Add Another Therapy" above.
We already come here. Is there yearly paperwork?
Yes, one form: the Patient Update. Near the end of each year we send every current family the link, so your insurance, contact details and consents are up to date for January.
How long until my child's first appointment?
Initial Evaluation: Once we receive your child's referral and completed admissions forms, we'll begin the scheduling process. Depending on availability, your child may be placed on a waitlist, and the wait for an evaluation can vary.
Starting Therapy: If therapy is recommended following the evaluation, it typically takes about two weeks to obtain the physician's signature on the plan of care and any required insurance authorization. Once approved, we'll call or text you to coordinate scheduling.
My child has an IEP. Do you need it?
Yes. If your child has an Individualized Education Program (IEP), you must disclose this and provide us with a current copy. The IEP is required for insurance prior authorization and must be received before we can submit an authorization request for therapy services.
Your child's therapist will also review the IEP to support coordinated care. Please provide an updated copy whenever your child's IEP is revised or renewed.
Can I watch my child's session?
Absolutely! Parents are welcome to observe through our therapy gym viewing windows or participate in sessions when appropriate. Some children benefit from having a parent present, while others make the most progress independently. Our therapists will work with you to determine the best approach for your child and provide updates following each session.