Prior to your first visit to Impressions Pediatric Therapy, you will be asked to fill out the following forms. These forms help us understand more about your child, so we can determine the best possible way to be of help to them and to you.
For your convenience, you may download them here:
Definition of Services: I hereby consent to engage in teletherapy with Impressions Pediatric Therapy. Teletherapy is a form of speech and/or occupational therapy services provided via internet technology, which can include consultation, treatment, transfer of medical data, emails, telephone conversations and/or education using interactive audio, video, or data communications. I also understand that teletherapy involves the communication of my medical/health information, both orally and/or visually. Teletherapy has the same purpose or intention as speech therapy or occupational therapy treatment sessions that are conducted in person. However, due to the nature of the technology used, I understand that teletherapy may be experienced somewhat differently than face-to-face treatment sessions. I understand that I have the following rights with respect to teletherapy:
Client’s Rights, Risks, and Responsibilities: