New Client Forms

 

 

Please find all necessary new client forms below. All of the following documents need to be returned two weeks

before your intital session. Unfortunately if these forms are not returned as requested, we may need to cancel your appointment. Each therapist requires time to prepare for initial assesments and testing sessions.

 

Parent Intro Letter: download here

 

Cancellation and Payment Policy: download here

 

Disclosure Authorization: download here

 

HIPAA Authorization: download here

 

HIPAA Form: download here

 

Informed Consent and Emergency Form: download here

 

Rates and Payments 2017: download here

 

Receipt for Payment Form: download here

 

Sensory Motor History Form: download here

 

322 Los Gatos Saratoga Road, Los Gatos CA 93030: 408-647-2084

sensorysolutionsinfo@gmail.com

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