Consent Form

Client History Form

IMPORTANT: Steps to complete Client History Form

  1. Save PDF to your local computer
  2. Open PDF with Adobe Reader
  3. Edit PDF using Adobe Reader
  4. Save completed History Form
  5. Email completed form to or

{ I feel confident that children are in good hands when they are seeing Liesl or Jordan.}
--  Rebecca Hendricks, OT, PlayWrite Therapy 


{ Working with the individual needs of each child, they develop hands-on functional and play-based strategies that can be used across home and school

--Susan Dambroff, Special Educator

All info on this site copyright Communication Therapy 2006-2007 Site credit: Beegee Tolpa & Marketing By Marlow. Photos by Sahara Damore , Emre Yilmaz and Matthew Shain.