Helping Hands Children’s Therapy Services, Inc. — New Lenox, Illinois

New Client Forms


Please fill out the following forms, save to your computer and either email to christie@helpinghandstherapy.org or you may print them out and bring them in with you. In order to view these forms, you will need Adobe Reader. If you don't have it, you may download it here for free.


Patient Insurance Information

Medical History Information
Release of Information

*Please read and print out the Client Guidelines and the Financial Policy found below for your records. You will be asked to sign a form acknowledging that you have received them.