Get Client Intake Form - Kids Therapy Made Simple

Completing the Client Intake Form for Kids Therapy Made Simple is a crucial step in initiating your child's therapy journey. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the Client Intake Form online.

1. Press the ‘Get Form’ button to access the Client Intake Form, which you can fill out online using a compatible PDF editor.
2. Begin by entering the name of the person filling out the form. Make sure to include the date as well.
3. Next, provide your child's name and date of birth, along with your occupation and primary language spoken at home.
4. Fill in the details of the pediatrician, including their name, occupation, and phone number.
5. Detail the home address and list the names and ages of all individuals currently living in the home.
6. Indicate how you heard about Kids Therapy Made Simple and any other relevant information.
7. Address the reason for your child's evaluation by describing the difficulties you have observed.
8. Complete the sections regarding your child's attendance at daycare or school, previous evaluations or therapies, and current interventions.
9. Fill out various medical history questions, including birth history, nutritional history, and any existing medical conditions or medications your child may have.
10. Provide social and emotional information by describing your child's personality, interests, and relationships with peers.
11. If applicable, enter educational history details, such as the name of your child's current school and any special education services.
12. Once you have filled out all sections, save the completed PDF file, ensuring it is stored securely.
13. To submit the completed form, either email it as an attachment to info@ktms.us or use the submission button available within the form.

Get started on your child's therapy journey by completing the Client Intake Form online today.