Get Started with Playworks

Here’s everything you need to get started with Playworks! 
We’ve tried to make this as simple and paperless as possible.

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Intake Form
Please fill out this web-based form (you don’t need to print it out).
This is your first contact with us (of course, you can call us as well!).

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Once you've completed the intake call, you will need to complete the Case History form(s):

SPEECH Case History Form 
Please fill out this web-based form (you don’t need to print it out) for Speech services. This is the medical case history form which will give us more information about how best to treat your child.

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OCCUPATIONAL THERAPY and PHYSICAL THERAPY Case History Form 
Please fill out this web-based form (you don’t need to print it out) for OT or PT services. This is the medical case history form which will give us more information about how best to treat your child.

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Consent for Services Form
Please print, sign, and bring the Consent for Services Form to our first scheduled meeting.
Parents can also fill this out in the office.

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Credit Card Authorization Form
Please print this Credit Card Authorization form, fill out the hard copy, and give the form to your therapist at the first scheduled meeting. Playworks Speech, Language & Occupational Therapy accepts all major credit cards. We will charge your card automatically, unless you request to pay by cash or check and payment is made at the time of service. If a credit card transaction is unsuccessful and payment has not been received, regrettably we cannot commit to any additional service.

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Health Screening Questionnaire

Parents can also fill this out in the office, but you can also send this with you child for the first session.