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Please let us know if you have any questions about the forms found here, or if you need more information about the paperwork required before your visit! We look forward to seeing you soon.

Registration Packet

( > 1 Year Old)

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Registration Packet

Newborn

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Welcome – Policies

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Notice of Privacy Practices

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PARENT ACCOMPANY NOTICE

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PERMISSION TO ACCOMPANY A MINOR

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PERMISSION TO TREAT A MINOR

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OCCUPATIONAL THERAPY INTAKE

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SPEECH THERAPY INTAKE

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Vanderbilt Assessment Forms

First Assessment

Parent

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First Assessment

Teacher

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Follow Up

Parent

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Follow Up

Teacher

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MEDICAL RECORD RELEASE

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MEDICAL RECORD REQUEST

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SPORTS PHYSICAL FORM

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Ready For A Visit?

We are located at 220 E. Rowan Ave. Ste. #150 in Spokane, Washington (99207). Our office hours are Monday – Friday 8 am – 5 pm. Schedule an appointment with us today – we look forward to seeing you soon!