Animal Assisted Group begins in October!! Call today to reserve your spot.
Contact Us

Mainely Kidz PT Inc.
895 Portland Road
Saco, ME 04072
Directions

p. (207) 439-5104
f. (207) 571-8134
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Please have the following forms completed and ready for your first appointment.  If you are unable to print and complete the forms for your first visit, kindly arrive 15 minutes early.  If your child has an appointnment for a Physical Therapy evaluation please bring a pair of shorts, sneakers and tank tops.  For feeding evaluations please bring food(s) and utensils that you usually use at home.  Also for all appointments kindly bring any assistive devices (communication devices, walkers, glasses, hearing aides, etc.) and any previous therapy progress reports and physician visit notes.  We look forward to meeting you!

New Client Intake Form

New Patient Packet

Speech & Language Child Case History
Please fill out prior to your scheduled speech evaluation.

Benefits Questionnaire
This is for clients reference only and does not need to be returned to MKPT.

Privacy Statement

 

The following forms are only necessary if your child is scheduled for an Intensive Therapy session with Mainely Intensive Therapies.

• Intensive Therapy - Medical Information Form

 

If you have any questions on filling out the forms below please call the office manager (207) 439 5104.

All forms are in Adobe© PDF format.