COVID-19 Updates

Outpatient Rehabilitation Appointment

Your privacy is very important to us. To help protect your privacy we provide this notice explaining our online information practices and the choices you can make about how your information is collected and used by Children's Healthcare of Atlanta.

After you submit this online form, our rehab scheduling department will call you within two business days to confirm your child’s appointment.

A written order/prescription from your referring physician is required for all outpatient rehabilitation services. You or your physician’s office can fax the order to the rehabilitation scheduling department at 404-785-7113.

Patient Information
Call Back Information
Patient Information
Legal Guardian / Guarantor
Secondary Contact
Emergency Contact
Primary Insurance Information
Secondary Insurance Information

* Required fields