Treatment material checklist
The purpose of this form is to get an idea of what activities and/or materials you have at home in order to create treatment ideas. Giving us information about the different things in home that can be potential therapy activities will help us come up with a therapy plan prior to your Telehealth session.
Please give us your name
what is your child's name
Do you have art supplies?
Never submit passwords through Google Forms.
This form was created inside of MLee Therapy.