For information about our services, to schedule a tour or to obtain information regarding free screenings, please feel free to contact us.

Email:jpuderbaugh@milestones4kids.com

Address: 2901 Finley Rd., Suite 101 \ Downers Grove, IL 60515

Phone: 630.792.1800 | Fax: 630.792.1801

Intake Paperwork

State of Illinois Early Intervention Patients - Click Here (PDF)

Patient Registration Form - Click Here (PDF)

Medical History Form - Click Here (PDF)

Notice of Privacy Practices - Click Here (PDF)

Financial Agreement - Click Here (PDF)

Therapy Attendance Guidelines & Policy - Click Here (PDF)

Milestones Health Guidelines - Click Here (PDF)

Permission To Photograph - Click Here (PDF)