giraffe cartoonClient Forms

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

Please select the download links and return the completed documents to our practice either in person or as a scanned PDF file via email. Completing the forms prior to your initial parent intake meeting allows your therapist to review them prior to meeting with you.

If you have any questions about the forms, please don’t hesitate to contact us.

Downloads

Download LGT Child Registration Form.pdf
Adobe Acrobat document [96.2 KB]
Download LGT Informed Consent-Emergency Contact Information Form.pdf
Adobe Acrobat document [81.1 KB]
Download LGT Developmental History Form.pdf
Adobe Acrobat document [93.6 KB]
Download LGT Consent to Exchange Confidential Information.pdf
Adobe Acrobat document [85.8 KB]
Download LGT Consent to Photgraph-Videotape Form.pdf
Adobe Acrobat document [91.9 KB]
Download LGT HIPAA Form.pdf
Adobe Acrobat document [102.6 KB]
Download LGT Cancellation and Payment Policy.pdf
Adobe Acrobat document [259.4 KB]
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