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  • Infant Assessment and History

    Please fill out this health history information prior to your first appointment.
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  • Child's History

  • Prenatal Care and Pregnancy

  • Birth History

  • Medical History

  • Nutrition History

  • Behavior

  • Family

  • I understand that Therapy Practitioners do not diagnose illness or disease or psychological disorders or prescribe medicine.  I choose for my child to receive therapy and will keep my therapist informed if any changes occur in their medical status.  If I feel at any time the well-being of my child is being compromised during treatment I will inform my therapist.  Soft tissue and oral motor therapy is a gentle noninvasive treatment which uses bones and tissue to affect the nervous system.  It is not guaranteed to cure a disease of disorder.

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