New Client Forms

Below are links to the New Client Forms and the Release of Information form.

ONCE YOU HAVE BEEN GIVEN THE PASSWORD TO FILL OUT THE FORMS, PLEASE PROCEED.

All forms must be filled out. Please take your time and provide as much detail as possible. Any missing information may delay the scheduling of your child’s evaluation or treatment. Thank you in advance!

New Client Form

TW Policy Letter

Patient Financial Responsibility

Video, Photography and Social Media Consent

Release of Information

Encrypted Email Policy

Feeding Questionnaire (please complete this form ONLY if directed by Therapy West)