The Band Experience at Sound Starts Music
Our staff at Sound Starts Music Therapy would like to thank you for choosing us and welcome you to our family.

It is our goal at Sound Starts to provide you with outstanding services, support, and communication regarding your family’s needs. We provide an environment that is encouraging, well-informed, enjoyable, and sincere. We want you to be an integral and active participant in your child’s music programming, and we want to provide an environment for your child and family that will support his/her development. Our intention is to move towards a level of independence within everyone’s abilities.

Included in our paperwork you will find:
o family/patient information sheet
o financial agreement/attendance policy
o consent to treat/medical release/permission for exchange of info
o permission to leave site
o audiovisual, photograph, & observation release
o HIPAA policy

Please read all forms thoroughly so that you are informed about the agreements you are signing, and ask any questions to better help us serve you and your family.

Please note that this form MUST be received prior to your child’s initial session.
We look forward to working with your family.

Thank you,

Mary Altom, MT-BC
Owner, Sound Starts Music Therapy
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