We ask that you fill in this form and return it to us prior to your childs appointment 2025

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The document is a Pediatric Occupational Therapy Intake Form that parents are required to complete and submit before their child's appointment. It collects essential information about the child's personal details, medical history, developmental milestones, sensory status, and behavioral concerns to help tailor the assessment. The assessment lasts approximately 2 hours and can be conducted in various locations, with a total cost of $480. The form also includes sections for parent/guardian contact information and any specific areas of concern regarding the child's development.

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