Skip to main content

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.

PediaPlex staff smilingPediaPlex office with a staff member smiling

IMPORTANT: please click “Submit Form” ONCE only.

Why Choose PediaPlex?

PediaPlex featured on NBC's Texas Today ▶ Play Video

Everything You Need, All Under One Roof

No more juggling multiple clinics. PediaPlex offers ABA therapy, speech therapy, occupational therapy, and more—all in one place. Plus, with five convenient locations across Texas, help is always close by.

Dedicated to Long-Term Growth

Our staff are employees, not contractors. This means you’ll have a consistent team committed to your child’s progress for the long term, fostering stability and trust.

Personalized Care You Can Trust

Every child is unique, and so is our approach. At PediaPlex, we tailor treatments to your child’s specific needs, providing compassionate, individualized care that makes a difference.

Accepted Insurances*

*Please note that insurance coverage may vary depending on the type of service provided and the terms of individual insurance policies. Kindly note that we do not accept Medicare or Tricare.

Child smiling after finishing a fish art project

Take the First Step Toward Your Child’s Success

Discover how PediaPlex’s expert care can support your child’s growth and development. Fill out the Patient Intake Form or contact us today to schedule an evaluation and start your journey toward success!

Patient Intake Form ↗ or Contact Us
PediaPlex therapist playing with a child

Accepted Insurances*

*Please note that insurance coverage may vary depending on the type of service provided and the terms of individual insurance policies. Kindly note that we do not accept Medicare or Tricare.

Patient Intake Form

Choose the PediaPlex location you plan to visit to open its intake form.