Fact Sheets

Click for Developmental Screening Fact Sheet

Click for Autism Fact Sheet

Click for ADHD Fact Sheet

Click for Learning Disabilities Fact Sheet

 Forms

Please complete the following forms prior to the first session

*To download forms to your computer, right click each of the forms, then click "open in new window." Click the save (or disc) icon to save the file to your computer. Close the window when the form has saved. Repeat this process with other forms.

Forms For All Clients:

HIPAA Notice (A read-only form)

Psychological Services Agreement (A read-only form)

HIPAA & Service Agreement, New Patient Information, Emergency Policies (Forms Requiring Signature)

Release of Information Form (please complete for your child's school as well as any other professional who could provide important information about your child)

Form for Therapy Clients Only:

Please complete this form if your child will be having weekly therapy sessions

Developmental History Record - Treatment

Developmental History Record - Assessment

Directions:

Directions to Made For Kids, Inc