Additional Case Documentation
  • Justification for Increase (if applicable) - this form is filled out only if you and the parent agree that the child would benefit from receiving more sessions OR you/parent think child would benefit from receiving services in a different setting. For instance, if the child is receiving PT 1x30 but you and the parent  agree that the child would benefit from a higher mandate of 2x30, this justification would be needed. If, you/parent believes child would perform better in a center-based setting, this justification would be needed. Click here for a sample justification form. 

  • Request for Evaluation (if applicable) - this letter is filled out only if you and the parent agree that the child would benefit from further evaluations. For instance, if you are currently servicing the case as the SI but the parent suspects the child has ASD, you would write a letter to request for a psych evaluation. Click here for a sample request for evaluation letter. 

  • Other Forms:

    • COTA Consent -​ mandatory for COTA/OTAs only. Click here for a blank one.

    • ST Recommendation - mandatory for STs only. Click here for a blank one.

    • Telehealth Consent - we must have this consent on file prior to you starting any telehealth sessions. We  *might* ask you to assist with obtaining this form. The faster we get it, the faster you are able to start on the case. Click here for a blank one.

    • In-Person Consent - we must have this consent on file prior to you starting any in-person sessions. We  *might* ask you to assist with obtaining this form. The faster we get it, the faster you are able to start on the case. Click here for a blank one.