Client Forms

Please use the following forms to submit information to EBS Children's Institute. You can either fill it out online or download and print the PDF and bring it to us. If you choose to fill out a form online, please know that we take your security and privacy very seriously. Online forms are hosted on EBS's secure, HIPAA-compliant server. Please call or email us if you have any questions.

Client Intake Paperwork

Client Bill of Rights

Consent to Receive Services

Please complete all documents in this section that pertain to the services your child will be receiving.

Feeding Intake

3-Day Feeding History

OT Intake

PT Intake

Psych Intake

Psych Consent

Speech Intake