Forms

Download the Occupational Therapy Consent Form & Cell Phone Consent Form, sign, and email to otwithmsmayra@gmail.com

Occupational Therapy Consent Form

This form includes all essential elements: patient/guardian consent, explanation of therapy services, use of protected health information (PHI), and HIPAA disclosure. 

Cell Phone Consent Form

This is a HIPAA-compliant parental consent form allowing communication between the Occupational Therapist and the parent/guardian regarding a child's healthcare needs via cell phone. This form includes essential elements to ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA).