zold-Download Office Forms

Below is a list of case history forms we require our clients to fill out prior to the evaluation. If you’ve not already registered via our online intake form (here), please download and fill out the form which is most appropriate for your visit and bring on the day of your child's evaluation (first visit).

Client History- Speech & Language

Client History - AT / BH

Client History- Occupational Therapy & Physical Therapy

Client History- Social Cognition

Client History- Feeding

 

Below are other documents which we include as part of our intake process.
Please print, fill out and bring on the day of your child's evaluation.

Release of Information Form

Allergy Alert Form

Photo & Video Release Form

Billing Information Form

Below are documents related to our policies and procedures

Cancellation Policy

Acknowledgement of Client Policies & Procedures

Privacy Practices Information

Acknowledgement of Privacy Practices

Before You Visit- Regarding Insurance

Other handouts which may pertain to your child's evaluation

Feeding Materials for Parents to Bring