Referral Information for Intervention Therapy Services
INTERVENTION/THERAPY SERVICES
Referral Forms for Intervention/Therapy Services
We are unable to schedule your family without the first four items:
History Form to be completed by the individual or parents/guardians of the child.
Please also submit the following items:
5. Any other previous diagnostic and/or cognitive evaluation reports as indicated on the History form should also be submitted. Examples include: IEPs; school testing report(s); CDSA evaluation(s); notes from speech, occupational, and/or play therapy; notes from other mental health providers, etc. Please only include the most recent copy of IEP, therapy evals, etc.
Please review research documents below before your appointment:
6. Research Forms – Please review the brochure and forms below before your clinic visit so that you can be informed about our research at TEACCH. You may sign and return them before or during your visit. You are NOT required to participate in research to receive TEACCH services.