These forms need to be filled out and returned (you may fax them to 408-371-5024 or mail them) at least 2 business days before your first appointment: Developmental History Policy Statements Do not return, but PLEASE READ thoroughly. Policy Acceptance Indicates that you have read and understand the Policy Statements. Exchange of Information Optional. Allows us to give or receive information from other professionals you list. Your therapist will inform you if you also need to complete any of the following forms: Communication History Feeding History - brief Feeding History - extended Tongue Thrust History (You will need Adobe Acrobat Reader to download these Forms.)
Developmental History Policy Statements Do not return, but PLEASE READ thoroughly. Policy Acceptance Indicates that you have read and understand the Policy Statements. Exchange of Information Optional. Allows us to give or receive information from other professionals you list. Your therapist will inform you if you also need to complete any of the following forms: Communication History Feeding History - brief Feeding History - extended Tongue Thrust History (You will need Adobe Acrobat Reader to download these Forms.)
Policy Statements Do not return, but PLEASE READ thoroughly.
Policy Acceptance Indicates that you have read and understand the Policy Statements.
Exchange of Information Optional. Allows us to give or receive information from other professionals you list.
Your therapist will inform you if you also need to complete any of the following forms: Communication History Feeding History - brief Feeding History - extended Tongue Thrust History (You will need Adobe Acrobat Reader to download these Forms.)
Communication History Feeding History - brief Feeding History - extended Tongue Thrust History (You will need Adobe Acrobat Reader to download these Forms.)
Feeding History - brief
Feeding History - extended
Tongue Thrust History
(You will need Adobe Acrobat Reader to download these Forms.)
To schedule an appointment, contact us at: phone (408) 371-4004 or e-mail info@creativecommunicationforkids.com
Creative Communication for Kids, 880 East Campbell Avenue, Suite 203 Campbell, CA 95008, fax (408) 371-5024
Copyright© 2007-2011
