Client Forms

New clients will need to fill out six forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the documents as downloads right here on our website.

 

Please select the download links and return the completed documents to our practice either in person or as a scanned PDF file via email. Naturally, all forms are also available at the practice; however, filling them out in advance saves time and allows your therapist to review them prior to meeting with you.

If you have any questions about the forms, please don't hesitate to contact us.

LGT Child Registration Form.pdf
Adobe Acrobat document [77.1 KB]
LGT Informed Consent-Emergency Contact I[...]
Adobe Acrobat document [81.1 KB]
LGT Developmental History Form.pdf
Adobe Acrobat document [93.6 KB]
LGT HIPPA Form.pdf
Adobe Acrobat document [82.7 KB]
LGT Consent to Exchange Confidential Inf[...]
Adobe Acrobat document [85.8 KB]
LGT Consent to Photgraph-Videotape Form.[...]
Adobe Acrobat document [91.7 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

100 O'Connor Drive #14

San Jose, CA 95128

 

Phone: 408.753.0106

 

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