Forms to Receive Services

Preliminary paperwork needs to be submitted before evaluations and therapy can be scheduled.

Pediatric Clients

If your child has had a diagnostic within the past 6 months, please submit it, or complete the Request for Records Form


Adult Clients (not with an acquired neurological condition, such as stroke or TBI)

If you have had a diagnostic within the past 6 months, please submit it, or complete the Request for Records form


Adult Neurological Clients (with an acquired neurological condition, such as stroke or TBI)

If you have had a diagnostic within the past 6 months, please submit it, or complete the Request for Records form