Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit and select the appropriate download link to begin. These files are downloadable in Microsoft Word Documents so you can easily save them to your computer and type right onto the form. Once completed, simply save the files and return the completed documents to our practice by attaching them to an e-mail. You can also print out the completed document and return in person, by fax or as a scanned document via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Information and Consent Form
Case History Form new2.docx
Microsoft Word document [21.2 KB]
Authorization Form
authorization 2015.docx
Microsoft Word document [14.4 KB]
Intake Form
dyslexia intake form.docx
Microsoft Word document [17.7 KB]
Warning Signs of Dyslexia Checklist
Warning Signs of Dyslexia.docx
Microsoft Word document [13.7 KB]

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