Semi-Private Forms and Contract

 

Required Forms: Please complete and bring these to your first appointment. (If completing forms electronically and sending them via email, please send #1 first. We will not be able to accept electronic forms otherwise)

  1. Email Consent Form –  SEND FIRST if sending below forms electronically.
  2. Semi-Private Payment Contract –  Signature needed on page 1 and page 2.
  3. Client History Form –  Complete answers. No signature needed.
  4. Play Attention Adult Survey OR Play Attention Child Survey – Complete answers. No signature needed.