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Intake Form

By completing this form (English/En español) on your child’s communication preferences, likes and dislikes and frequently used reinforcement strategies, you are providing valuable insight for the medical team on how to best care for your child.

It is best if this form can be submitted to the department where your child is being seen in advance of their appointment. However, if that is not possible, please bring it with you on the day of their appointment and provide it to the registration team at check-in.