Wellness clinic offering therapy and other services for children and adults.
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Forms

To download forms directly to your computer, right-click on the form you would like and click “Save link as…”

Form Packets:

Psychology –  Adult Intake Packet

Psychology – Child & Adolescent Intake Packet

Speech Therapy –  Speech Therapy Intake Packet

Occupational Therapy – Occupational Therapy Intake Packet

Occupational Therapy – Adult Intake Packet

Social Skills – Social Skills Intake Packet

 

General Forms:

HIPAA

Insurance Benefits Check Form

Patient Registration

OT/SLP Clinic Policies

Release of Information

Doctor Referral Form

Occupational Therapy Questionnaire

Speech Intake Questionnaire