Creative Speech Solutions Forms
• Forms Package # 1a: Creative Speech Solutions Welcome Letter
This is an explanation of our policies, fee schedule and notice of privacy practices. Print and retain for your records.
• Forms Package # 1b: Creative Speech Solutions Welcome Packet Forms
This is a collection of legal forms to be filled out. We cannot provide services until these are completed and signed.
• Forms Package # 2: Speech-Language Evaluation
This is for all speech, language and myofunctional tongue thrust evaluations.
• Forms Package # 3: Occupational Therapy Evaluation
This is for all complete fine motor and sensory integration occupational therapy evaluations.
• Forms Package # 4: Feeding Evaluation
This is for all feeding/swallowing evaluations.
• Forms Package # 5: Nutrition Consultation
This is for nutrition consultations.
• Forms Package # 6: Social Skills Consultation
This is for participation in group social skill sessions.
• Forms Package # 7: Literacy Case History
This is for all literacy evaluations.
• Forms Package # 8: Record Release Authorization
This is to release any information to or from this facility.
• Forms Package # 9: Related Services Questionnaire
This is to assist your therapist with coordination with school based therapists and teachers.
• Forms Package # 10: Therapist Feedback Questionnaire
This is to assist in our center with quality control. Your opinions are valued.
• Forms Package # 11: Services Feedback Questionnaire
This is to assist our center with quality control. Your opinions are valued.
• Forms Package # 12a: 2013 Camp PAL Registration
This is the form that must be filled out and returned for participation in Camp PAL 2013.
• Forms Package # 12b: 2013 Camp PAL Questionnaire
Please fill out this questionnaire when registering for Camp PAL 2013
This is an explanation of our policies, fee schedule and notice of privacy practices. Print and retain for your records.
• Forms Package # 1b: Creative Speech Solutions Welcome Packet Forms
This is a collection of legal forms to be filled out. We cannot provide services until these are completed and signed.
• Forms Package # 2: Speech-Language Evaluation
This is for all speech, language and myofunctional tongue thrust evaluations.
• Forms Package # 3: Occupational Therapy Evaluation
This is for all complete fine motor and sensory integration occupational therapy evaluations.
• Forms Package # 4: Feeding Evaluation
This is for all feeding/swallowing evaluations.
• Forms Package # 5: Nutrition Consultation
This is for nutrition consultations.
• Forms Package # 6: Social Skills Consultation
This is for participation in group social skill sessions.
• Forms Package # 7: Literacy Case History
This is for all literacy evaluations.
• Forms Package # 8: Record Release Authorization
This is to release any information to or from this facility.
• Forms Package # 9: Related Services Questionnaire
This is to assist your therapist with coordination with school based therapists and teachers.
• Forms Package # 10: Therapist Feedback Questionnaire
This is to assist in our center with quality control. Your opinions are valued.
• Forms Package # 11: Services Feedback Questionnaire
This is to assist our center with quality control. Your opinions are valued.
• Forms Package # 12a: 2013 Camp PAL Registration
This is the form that must be filled out and returned for participation in Camp PAL 2013.
• Forms Package # 12b: 2013 Camp PAL Questionnaire
Please fill out this questionnaire when registering for Camp PAL 2013