Welcome to Dogwood Therapy Services!
Dogwood Therapy Services is a human healthcare facility that treats people with physical, cognitive and psychiatric disabilities. Our occupational therapists specialize in evaluation, prioritizing goals and treatment. In order to meet agreed upon goals, we expect parents or caregivers to participate in at least 50% of therapy sessions and to carryout weekly home plans, unless otherwise discussed.

By continuing with this form, the parties agree that this packet may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. If you chose to opt out of signing this agreement electronically, please chose the printable format of this packet and complete it by hand.
Sign in to Google to save your progress. Learn more
I agree to the above terms of treatment and will follow through with the plan of care, including participation in sessions and home programs. (Please type name below for electronic signature) *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dogwood Therapy Services. Report Abuse