Pediatric Speech, ABA, Physical & Occupational Therapy
All therapy now takes place at
851 Professional Park Drive, Clarksville, TN 37040

Download Advanced Therapy Solutions Forms

We have made these forms available for you to print at home. They take about 15-20 minutes to complete. If you fill them out before you come in, it will expedite the evaluation process and decrease your waiting time at our office. Click the appropriate group below and a PDF will open which you can then print.

In addition to the forms below, there is one short insurance form we will need you to fill out at the office. It is necessary that a Parent or Guardian bring the child to the Evaluation. We will also need to make a copy of the Parent or Guardian's drivers license and insurance card. We advise you to call your insurance to see if they cover the treatment you are seeking. If your insurance does not cover the services you need we offer a Prompt Payment option. This Prompt Payment must be payed at the time the service is rendered.

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Adult Forms

Pediatric Forms

Download a copy of Adobe Reader to view the forms if you do not already have it.

Advanced Therapy Solutions

851 Professional Park Drive
Clarksville, TN 37040

Phone: (931) 542-2168
Fax: (931) 542-2206

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Advanced Therapy Solutions, 851 Professional Park Drive, Clarksville, TN 37040, 931-542-2168
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