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Patient Forms

Prior to your first visit to Feltz Therapy Services, you will be asked to fill out intake forms. These forms help us understand more about your child, so we can determine the best possible way to be of help to them and to you.

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Download intake forms here:

                      TEIS Patients:

Private insurance Patients:

 

For your convenience, we've included our HIPAA Notice of Privacy Practice here:  

Behavioral
Therapy
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