Therapy Intake Information

To receive our therapy services:


  1. Obtain an order from your pediatrician. This can be faxed to 901-683-2100.
  2. Please print and fill out the following paperwork and give to your therapist at your first appointment.

Click Here for Therapy Intake Paperwork.

SRVS Kids & Families currently accepts the following insurance:

  • Blue Cross Blue Shield of TN
  • Cigna
  • Coventry
  • United Healthcare
  • Health Cost Solutions

If your insurance is not listed and you are interested in receiving therapy through SRVS Kids & Families, please call 901-312-9915 for more information and payment options.