All in school services require Great Strides staff to openly discuss areas such as treatment, scheduling, etc. Please complete the below Release of Information to provide permission for our staff to discuss necessary information when providing services at your child's school.
I authorize Great Strides Rehabilitation
12276 San Jose Blvd. Suite 508
Jacksonville, Florida 32223
I do hereby that I am the legal guardian of the above named patient and I consent to the disclosure of the specific information listed as it concerns the above named patient of Great Strides Rehabilitation Inc.
Please understand that therapy openings are often limited. The more flexible you can be about your scheduling availability and requirements the quicker we can get you scheduled.
If you do not have a diagnostic evaluation, you will need to obtain one before we can obtain authorization to see your child. Please reach out to your child's physician to obtain a referral for the appropriate provider to complete this evaluation.
If you are seeking OT/PT/ST services, please select 'no' for the above question.