New Client forms | millennium

124 Main Street, Suite 3

Huntington, NY 11743

Phone:631-421-3949

Fax:631-421-4540

www.mmctherapy.com

Conveniently located in Huntington

Village with ample free parking.

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We have been providing exceptional quality therapeutic services in Nassau and Suffolk Counties of Long Island NY since 1999.

Summer 2022

We will be offering groups for Speech Therapy, Occupational and Physical Therapy as well as Social Skills and Kindergarten Readiness.

Click here to email us regarding group/individual session for summer.

Below please find the forms necessary to expedite your initial office visit.

Prescription forms:

Nassau County

Suffolk County

Suffolk County Medicaid consent form

Nassau County Medicaid Consent form

New Client registration form 1

New Client Registration form 2

Clients coming for OT or PT can not begin without a prescription from their Dr. Please download all forms and fax to us at 631-421-4540 or bring with you on your first day of service.