Pediatric Services Forms
Information About Pediatric Services (information)
Intake Form (required)
Contract for Speech & Language Services (required)
Consent for Release of Information (required)
Insurance Information Form
Consent for Photographing and/or Videotaping (requested)
Young Adult Transition Services and Supports
Do you have a child who is entering adulthood soon and you’re not certain what skills you should be focused on? Look here to find the answer to “What skills do adult agencies and programs suggest young adult / students have when entering their programs (residential, vocational or day activities) to enable them to access and offer the most beneficial adult programs?” More Info
People we love to work with
NeuroTherapeutics Pediatric Therapies
Play to Grow, Deb Ferguson OT/R
Kellie Murdock- Eickelberg, M.S., SLP
Clackamas Speech, Heidii Roberts, M.S., SLP
Beyond the Clinic Physical Therapy, Crystal Bridges, DPT (Physical Therapy)
OTAC Oregon Technical Assistance Center/ Technology Center
CAST Universal Design for Learning
Dynavox and Ellen.Witham@dynavoxtech.com (Oregon’s Rep)
Saltillo
Griffin's Place
Diane Wiscarson
Adult Services Forms
Request for Services
Consent for Release of Information (required)
Consent for Photographing and/or Videotaping (requested)