MENU

Patient Forms

Please bring the following information to your child’s first appointment:

  • Insurance card
  • Driver’s license
  • Previous evaluations
  • Previous diagnoses
  • List of any medications including vitamins, herbs and over-the-counter medicines that your child is taking
  • Individual Education Plan (IEP), if applicable
  • Custody Agreement, if applicable

Please plan to arrive 15 minutes before your scheduled appointment so we can process your paperwork.

Forms:

Authorization for Release of Information
How to Help Your Child Prepare for an Appointment
Authorization to Share Client Information

School Speech Therapy/Occupational Therapy Referral Form

Speech Therapy/Occupational Therapy Case History Form