Forms
If you are interested in obtaining our services, please read our
Policies and Fees. Then, complete and return the following forms along with your initial payment:

• Registration Form
  
• Service Agreement for Evaluation/Consultation or
  Service Agreement for Treatment (select appropriate form)
  
• Sensorimotor History or
  Young Child Sensorimotor History (functioning at preschool/infant level)
• Release of Information (if there is someone you would like us to contact)
  
• Emergency Medical/Transportation Release
  
• Privacy Policies and Practices
  
• Acknowledgement of Receipt of Privacy Policies and Practices
  

In addition, please send any relevant reports that will help us understand your child and his or her needs. It is helpful to receive not only occupational therapy reports, but also psychological, medical or developmental assessments that you have. They can help us gain a quick understanding of other strengths and weaknesses that may impact our work with your child. If your only report seems “out of date” and you feel that it no longer reflects your child, we would still like to receive a copy. It can be helpful to see the areas of progress for your child, as well as any areas that may not have made such progress.