AZ+A Occupational Therapy Telehealth
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Names and Ages of Children
If your child is a current client, who (which therapist) does your child see?
Occupational Therapy: I am interested in the following virtual home sessions (check all that apply)
What is your preferred time and length of time for VIRTUAL home sessions to be scheduled? (check all that apply)
Less than an hour
Early evenings (before 7p.m.)
On which day(s) would you be interested in weekly VIRTUAL home therapy sessions? (check all that apply)
Please tell us about any other requests so we can do our best to suit your family's needs.
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