Intake Forms / Policies

Intake form

This packet contains important information for new patients including policies, consent for treatment, and permission to communicate with other professionals regarding your child. A detailed developmental history and parent questionnaire is also included.

Feeding history form

This packet contains questions about your child’s health and feeding history.

How to open the forms

These forms are provided in Adobe PDF format (Portable Document Format), which allows higher quality print output. To open these files, you will need Adobe Reader software installed on your computer. If you do not have the Adobe Reader software already installed on your computer, you can download the installer and instructions for free from Adobe.

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