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Phone inquiries: 817-442-0222
Client Portal

Patient Intake Form

Ready to start your child’s journey? Please complete the below form for your desired clinic location with as much information as possible. An intake counselor will then be in contact with you.
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Frisco Location
Frisco Intake Form
PediaPlex Branch Location
SouthLake Location
SouthLake Intake Form
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Fort Worth Location
Fort Worth Intake Form
IMPORTANT: please click “Submit Form” ONCE only.
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Contact Us

Get in touch with PediaPlex! Whether you have questions, need more information, or are ready to schedule an evaluation, our team is here to help. Reach out to us today!

Send Us A Message
Call Us: 817 442 0222
PediaPlex Team
PediaPlex Frisco Clinic Exterior Shot
PediaPlex Building Branch Exterior Shot
Frisco Location
4855 Ohio Drive, Frisco,
TX 75034
Frisco Info
PediaPlex Branch Location
Southlake Location
2425 East Southlake BlvdSouthlake, TX 76092
Southlake Info
PediaPlex Branch Exterior
Fort Worth Location
4537 Heritage Trace Pkwy Bldg 11A, Fort Worth, TX 76244
Fort Worth Info

Send A Message To PediaPlex

If you have any questions, concerns, or comments regarding PediaPlex, please fill out the short contact form or contact us using the details below.

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817-442-0222
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PediaPlex Building Branch Exterior Shot
Frisco Location
4855 Ohio Drive, Frisco,
TX 75034
Frisco Info
PediaPlex Branch Location
Southlake Location
2425 East Southlake BlvdSouthlake, TX 76092
Southlake Info
PediaPlex Branch Exterior
Fort Worth Location
4537 Heritage Trace Pkwy Bldg 11A, Fort Worth, TX 76244
Fort Worth Info

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