Intake Forms


New Patient Information

  1. Click on PDF Icon

  2. Download PDF Document

  3. Complete and Return

  4. You Can Fax 770-783-5049

  5. You Can Email to therabeatmusic@gmail.com

Adult Intake

  1. Click on PDF Icon

  2. Download PDF Document

  3. Complete and Return

  4. You Can Fax 770-783-5049

  5. You Can Email to therabeatmusic@gmail.com


For my son Cole, music is one thing that keeps him interested and soothes him as well. We have made it through so many medical procedures and doctors visits by singing. When we had given up the hope that he would participate consistently in any type of therapy, even though he desperately needed it, we decided to try individual music therapy. Cole enjoys his time with Chelsea so much that he doesn’t realize he’s also been doing occupational, speech, and even some physical therapy goals. We’ve seen a noticeable difference in his ability to follow directions as well. I love that he is enjoying himself and looking forward to coming to the clinic each week!
— C. Plugge