Click on the pop out button on the form to open, then download.
Please complete intake form and either send in before your intake appointment or have it available during.
LP_Developmental Evaluation Intake Form.pdf
Click on the pop out button on each form to open, then download.
You may need to download or save the release of information form multiple times depending on what organizations/individuals you would like information shared across. This includes doctors/specialists' offices, Babies Can't Wait districts and providers, school systems, and therapists.
LP_Consent to the Use of Text Messages and Emails.pdf
LP_Release of Information.pdf
LP_Telehealth Consent Form.pdf