How To Register
To complete your registration you will need a username and password. This ensures that your data is secure, and it also allows you to save and return at a later time. Once you complete your registration information, a Heartspring Service Coordinator will be in contact with you to discuss scheduling options. Please feel free to contact us with specific questions. A physician order will be required prior to your initial evaluation to oversee your therapy interventions. Most therapies require an authorization for weekly therapy. Heartspring will obtain these documents for you but may require your assistance to ensure documentation from your primary care physician is received in a timely manner.
Please have the following information available when completing your registration to ensure you can thoroughly complete the information: Employer information, Insurance information, Physician contact information, Specialty physician contact information, child’s developmental history.
Heartspring Pediatric Services now has much of its patient paperwork available online. To fill out any of these forms, you will need to have a Heartspring account. This ensures that your data is secure, and it also allows you to save forms that are in progress and return to them at a later time.
To continue working on an existing form or to begin a new one, please click on one of the links on the right.
Free Developmental Screening
Heartspring Pediatric Services provides free developmental screening for children ages birth to 5 years old. Please click the Free Developmental Screening button to the right,and complete the following information to request a screening of your child’s communication, fine motor coordination, gross motor coordination, personal-social abilities and problem solving. Screening is an effective way to determine developmental progress in children and identify appropriate early intervention when needed.