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info@horntherapy.com
Horn & Associates in RehabilitationHorn & Associates in Rehabilitation
Horn & Associates in RehabilitationHorn & Associates in Rehabilitation
Providing the Bluegrass with Excellence in
Therapeutic Services for Over 40 Years
  • Home
  • About Us
  • Services
    • Speech and Language Therapy
    • Occupational Therapy
    • Physical Therapy
    • Psychology/Social Work
    • Dyslexia Intervention
    • Acquired Brain Injury Program
  • Treatments
  • Important Forms
  • Resources
  • Contact Us
  • Referrals
  • More
    • FAQ
    • Medical Records Request
    • Students
    • Career Opportunities
    • Telehealth

Important Forms

Home Important Forms

Here are some important forms you may need

The following forms are in PDF format. Please click to download and fill out prior to your appointment if desired. Alternately, you may fill out appropriate forms at the time of your appointment.

2025 New Speech Therapy Client (Pediatric)

2025 New Occupational Therapy Client (Pediatric)

2025 New Physical Therapy Client (Pediatric)

2025 New Mental Health Client (Pediatric)

2025 New OT-PT-ST Client (Adult)

2025 New Mental Health Client (Adult)

2025 Returning OT-PT-ST Client Paperwork (Pediatric)

2025 Returning Mental Health Client Paperwork (Pediatric)

2025 Returning  Client Paperwork (Adult)

Birth and Developmental History Questionnaire

Speech Therapy Supplemental Questionnaire (Pediatric)

Occupational Therapy Supplemental Questionnaire (Pediatric)

Physical Therapy Supplemental Questionnaire (Pediatric)

2025 Mental Health Supplemental Questionnaire (Pediatric)

2025 ABI Paperwork

2025 Release of Information Consent to Treat

2025 Office Terms and Conditions

2025 Consent to Leave Voicemail, Email

2025 Telehealth Consent

2025 Notice of Privacy Practices

Disclosure Against Surprise Billing

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Greatstone Office

  • 2412 Greatstone Point
  • 859-224-4081
  • 859-224-4082
  • info@horntherapy.com
  • www.horntherapy.com

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Todds Road Office

  • 4127 Todds Road
  • 859-224-4081
  • 859-224-4082
  • info@horntherapy.com
  • www.horntherapy.com

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  • Home
  • About Us
  • Services
    • Speech and Language Therapy
    • Occupational Therapy
    • Physical Therapy
    • Psychology/Social Work
    • Dyslexia Intervention
    • Acquired Brain Injury Program
  • Treatments
  • Important Forms
  • Resources
  • Contact Us
  • Referrals
  • More
    • FAQ
    • Medical Records Request
    • Students
    • Career Opportunities
    • Telehealth

RE-OPENING UPDATE

Please visit our re-opening update menu tab to see our latest information regarding resuming in-person services.

 

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