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We will need ALL of the following items PRIOR to performing your child’s evaluation:
1. Completed Child History Form 2. Signed Acknowledgement of Receipt of Privacy Policy and Procedures Form 3. Signed Authorizations and Consents Form 4. A prescription from your primary care physician, preferably with diagnosis code 5. Completed Feeding History (if applicable) 6. Signed copy of your child’s current IFSP or IEP (if applicable) 7. Your child’s insurance card(s). 8. Your driver’s license. 9. Any other prior therapy notes, evaluations and/or medical information that will assist us in treating your child. Please call the clinic to be placed on our waitlist prior to completing the new patient paperwork.
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