Joy Therapy and Learning Center Intake Form

Joy Therapy and Learning Center Intake Form
Please Note:

This form will take approximately 20-30 minutes to complete.

Several consent and policy forms within the intake will require your E-Signature.

Please fill them out online prior to scheduling our first visit. You may use a computer, tablet or smart phone. We are a Paperless Practice utilizing Electronic Health Records.

If you do not have access to a device to complete the forms, please contact our office at info@joytlc.com to request forms to be emailed.

All information is Confidential.

Insurance Information

Please fill in ALL the areas
Primary Insurance
Policy Number
Group Number
Claims Address

Street Address

Street Address Line 2

CityState

Zip Code
Claims Phone

Area CodePhone Number
Insured's Name

First NameLast Name
Insured's Birth Date

MonthDayYear
Secondary Insurance
Policy Number
Group Number
Claims Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Claims Phone

Area CodePhone Number
Insured's Name

First NameLast Name
Insured's Birth Date

MonthDayYear
Page 3 of 16

Emergency Medical Release

In the event medical attention is required for your child while on the premises of Joy Therapy and Learning Center, LLC, we need your authorization to implement treatment. Please read and sign the statement below.
As parent/legal guardian of child in care, I give my permission for Joy Therapy and Learning Center, LLC to contact emergency personnel in the event of a medical emergency.
Child's Full Name

First NameLast Name
Parent's/Legal Guardian's Full Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent's/Legal Guardian's Signature
Medications / Allergies / Conditions
Medications: Please include prescription drugs, over the counter meds, vitamins and homeopathic medications.
Allergies / Reactions:
Diagnoses: Please indicate any known medical diagnosis or medical condition, with dates of diagnosis if known.
Primary Physician Office Name:
Primary Physician Doctor Name:

First NameLast Name
Primary Physician Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Physician Phone:

Area CodePhone Number
Primary Physician Fax

Area CodePhone Number
Referring Physician:
Page 4 of 16

Photo Permission
Please indicate the following OPTIONAL statements. You may choose one, both or neither.
Email Permission
Please indicate the following OPTIONAL statement.
Authorization and Consent for Evaluation, Treatment and Operations
Please indicate the following statements.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent / Legal Guardian's Signature
Page 5 of 16

Acknowledgement of Receipt of Notice of Privacy Practices (HIPPA)
I acknowledge that I have viewed, read and understand the HIPPA Policy and have been informed of my rights as a patient's parent / legal guardian.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent / Legal Guardian's signature
List the names of the programs and people that have worked or are working with your child outside of Joy Therapy and Learning Center.
I hereby authorize any prior or present treating physician, therapist, school, hospital, or other health institution, to release all of medical information by any means of communication to Joy Therapy and Learning Center, LLC.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent / Legal Guardian's Signature
**If your child has an IEP through his/her school, please bring us a copy for our records.**

**If your child has a neuropsych evaluation or any additional testing, please bring us a copy for our records.**
Page 6 of 16

Developmental History
How was your child's health in the first year?
At what age did your child first:
Sit Up?
Crawl?
Walk?
First word?
What was their first word?
Two words together?
What was their first phrase?
When did you first become concerned about your child's development?
How would you describe your child's temperament?
How would you describe your child's behavior and performance at school?
Page 8 of 16

Hearing & Vision
Has your child had his/her hearing tested?
If yes, what was the most recent date?

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Results of test:
Has your child had any ear infections?
How many ear infections?
Did your child ever have tubes placed in his/her ears?
If yes, what was the most recent date?

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Has your child ever had his/her vision tested?
Results of test:
Personal Information
Please describe your child's personality.
How do you handle discipline at home?
How often, if ever, does your child have tantrums?
How does your child handle variations in routine?
How much screen time does your child get?
e.g., tablets, smart phones, computers, TV, etc.
What games, activities or toys does your child enjoy?
Describe how your child interacts with other children.
Describe your child's sleeping patterns/habits.
Briefly describe a typical day for your family, especially this child.
Page 10 of 16

Patient Agreement
Joy Therapy and Learning Center, LLC offers Physical Therapy, Occupational Therapy, Speech-Language Pathology, and Applied Behavior Analysis services for patients referred to our practice. We are a licensed provider who develops individualized treatment plans to identify the services that will best suit your child’s therapy needs. We will also work with your primary care practitioner to coordinate your care.

Following the initial assessment visit(s), we develop a specific plan of care (POC) for review and approval by your child’s referring provider. Once your child’s referring provider signs the (POC), we can begin working with your family to improve your child’s condition. We are pleased to serve your Physical Therapy, Occupational Therapy, and/or Speech-Language Pathology needs and encourage your feedback to alert us to anything we can do to provide your child the highest quality of care.

We require certain information from each patient in order to begin providing care. The attached forms need to be completed in order for us to begin serving your child as our patient. Please do your best to complete all the information. If certain information does not apply to your child, please indicate that by noting “N/A” (“Not Applicable”) so that we know that you did not overlook anything.

Each healthcare insurance payor has different guidelines for allowing coverage of Physical Therapy, Occupational Therapy, Speech-Language Pathology and/or Applied Behavior Analysis services. It is helpful if you let us know your healthcare payor when starting service so that we may find out if prior authorizations are needed. If your child is a Medicaid beneficiary, please ask your primary care provider to send us a referral for your initial assessment to fulfill Medicaid requirements. If your healthcare insurance payor does not cover Physical Therapy, Occupational Therapy, and/or Speech-Language Pathology services, you are welcome to make self pay arrangements for the usual and customary pricing of our services.
Page 11 of 16

Medicaid & Private Insurance Co-Payments, Deductibles and Non-Covered Service

Private insurance companies may have limits on the amount of Physical Therapy, Occupational Therapy, Speech-Language Pathology and/or Applied Behavior Analysis services covered. Once you have exceeded the financial limit of your benefits and you do not have additional healthcare coverage, you are responsible for the payment of your child’s services. Additionally, private healthcare insurance payors have deductible and co-payments for physical therapy, occupational therapy, speech language pathology, and/or applied behavior analysis services that are the responsibility of the patient.While this practice will not discontinue your child’s services for financial hardships, it is expected that patients pay at the time of service and/or set up payment arrangements.
Collection of Past Due Accounts

We communicate with our patients’ parents/guardians to resolve past due accounts in all cases. If we cannot reach a patient’s parent/guardian by phone following the return of undeliverable mail, or if a patient payment agreement cannot be made or paid as agreed, we are forced to use the services of a professional collection agency. Once an account is placed with a collection agency, we cannot take the account back. Please let us know when or if your patient contact information changes so that we can always reach you, if needed, to discuss past due accounts.
Financial Agreement

New patients approved for Physical Therapy, Occupational Therapy, Speech-Language Pathology, and/or Applied Behavioral Analysis services are responsible for any and all charges not paid for by healthcare insurance payors (Medicaid, private health insurance carriers, etc.). By signing this patient agreement, you are acknowledging that you understand this condition of service and commit to promptly paying Joy Therapy and Learning Services for the services we provide to you, our valued customer. Following the receipt of your monthly patient statement, please contact our practice to make payment arrangements. We accept cash, personal checks and money orders. We also are willing to make reasonable payment arrangements to keep your account current.Please contact our Billing Office at 770-240-0163 extension 802.
Quality Assurance & Complaint Resolution

Should you or your child’s caregiver experience a situation that requires the attention and resolution of a Supervisor and/or Manager, please contact our practice either in writing or by phone at 770-240-0163. A member of our management team will interact with you to reach a resolution of any identified situation where our quality of servicehas been compromised. We use such situations to alert us to improvements we can make to better serve all our patients.
Patient Statement of Agreement

My signature below signifies that I have read and understand this patient agreement for Joy therapy and Learning Center, LLC to provide me Physical Therapy, Occupational Therapy, Speech-Language Pathology, and/or Applied Behavior Analysis services. I agree to the terms in this patient agreement and intend to comply with them to the best of my ability. I understand that if I fail to follow the terms of this agreement, I could be discharged from service.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent / Legal Guardian Signature
Page 12 of 16

Financial Policy

Welcome to our office! We are committed to providing you with the best possible care. If you have medical insurance, we are willing to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our financial policy. Payment, co-payment, deductibles, and co-insurance for services are due each visit for charges incurred up through your last visit. We accept cash, checks, and money orders. Please understand that you are financially responsible for all charges, whether or not they are paid by insurance.
Please read carefully:
1. Your insurance is a contract between you, your employer and your insurance company. We are not aparty to that contract. As a courtesy to our patients, we will bill your insurance carrier; however, we cannot guarantee payment in a timely manner. If for any reason any portion of a bill is not paid by your insurance within 60 days from the date of service, you agree to make arrangements for prompt payment.
2. Should your insurance coverage change, our office should be notified within 30 days of the effective date and the card or stickers should be available for copying. If you fail to provide us this information, your account and all future balances will be your responsibility. We will no longer bill insurance and you will be
  responsible for submitting claims to your insurance. Payment will also be due at the time of service in full.
3. Our fees are generally considered to fall within the acceptable range by most insurance carriers and therefore are covered up to the maximum allowance determined by each carrier. This applies to the
  companies who pay a percentage (such as 50% or 80%) of the usual, customary, and reasonable rate (UCR). This statement does not apply to companies who reimburse based on an arbitrary schedule of fees, which bears no relationship to the current standard and cost of care in this area.
4. Not all services are a covered benefit in all contracts. Some insurance companies arbitrarily select certain services they will not cover. These particular services, if any, are your responsibility. Please note insurance companies may indicate the services were not medically necessary and claim that, because Joy Therapy and Learning Center is a preferred provider, you do not have to pay the balance. This is NOT the case and you will be billed for the services. This office cannot accept responsibility for negotiating settlements on disputed claims.
5. Any returned checks will be subject to a NSF fee of $25.00 which will be due at the next visit.
6. Accounts that are past due will incur a finance charge at the rate of 10.5% annually.
Again, our relationship is with you, not your insurance company. We realize that temporary financial problems may
affect timely payment of your account. If such problems do arise, we encourage you to contact our billing department promptly for assistance in the management of your account. If you have any questions about the
above information or any uncertainty regarding insurance coverage, please don’t hesitate to ask us. We are here to help you!
Please read and acknowledge the following statements by checking:
I hereby understand the above financial policy and agree to abide by it.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Legal Guardian Signature
Page 13 of 16

Cancellation Policy

Our clinic strives to provide the best therapy services possible. In order to ensure optimal use of valuable therapy time, please discuss schedule changes at the end of your appointment with your therapist and the front desk administrator. We understand occasional changes are necessary due to illness, vacations, etc. Please call our office within 24 hours of a scheduled appointment if you need to cancel or reschedule that appointment. This allows for clients to reschedule into additional openings therapists may have. For Monday morning appointments,our office appreciates being notified no later than Friday noontime. This will allow other patients in need of care to be accommodated as we have many patients. It is both unfair to the other patients and therapists to not allow for others to schedule in the open time slots.
Please review and check each box:

If a parent/guardian is more than 5 minutes late to pick their child up, the parent(s)/guardian will be charged $1 for every minute they are late. (e.g., You will be charged $6 on the 6th minute of being late, etc.) This is to ensure that parents are present so the therapist can collaborate with the parent(s)/guardian and other children’s sessions can start on time. **Note: Insurance companies DO NOT reimburse for late fees; this is the responsibility of the parent(s)/guardian.**
We are happy to work out scheduling problems with you. Please let us know if you are experiencing a problem with your current schedule. If therapy needs to be canceled for a couple of weeks, (such as for an extended trip), we will hold your therapy spot for up to three weeks. We will then place you on the information list and will fit you back in the schedule as soon as we can.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Legal Guardian Signature
Page 14 of 16

Clinic Etiquette

Once again, we welcome you to Joy Therapy and Learning Center. We are honored that you have chosen our clinic to meet the needs of your child and your family. We continually try to create a space and an atmosphere that is true to our name – fun and inviting for kids and their families. We hope that you are comfortable here and always feel welcome. Please know that you can approach us with any comments or concerns regarding our space and how it is used. In order to make Joy Therapy and Learning Center a comfortable and safe place for all of our families and our staff, we ask that families follow our clinic etiquette plan. Please read and become familiar with the following expectations.
1. Before entering treatment areas without a therapist, please check in at the front desk to allow for patient
  confidentiality and compliance with HIPAA policies.
2. Closely monitor your children’s behavior in the waiting room to ensure that they are playing safely and appropriately with other children. Please do not allow children to climb on, jump from, or disassemble the waiting room furniture or toys.
3. Please clean up after your children in the waiting room. Help them replace any books or toys they may have used and throw away any trash that may have accumulated.
4. Accompany all younger children and those needing assistance or supervision to the restroom; this includes using the restroom for hand washing.
5. If you have children in diapers or pull-ups, please bring a diaper bag to therapy and be prepared to change your child if necessary.
6. Do not allow your children to enter the treatment area unaccompanied.
7. For safety reasons, please do not allow your children to play with the doors in the waiting room.
8. The family is always invited to attend your child’s treatment session. However, if siblings will be observing or participating, please do not allow them to play with equipment without obtaining permission from a therapist.
  Also, equipment may be used with permission as long as no other therapist needs to access that equipment.
  Plan to provide any siblings attending therapy with their own toys or activities.
9. We discourage bringing toys from home to treatment sessions unless your therapist requests them or gives permission to bring them. Your therapist will choose toys from our clinic with a specific therapeutic purpose.
10. If you are observing your child’s treatment session, remain in the same room as your child and their therapist.
  In order to protect the confidentiality of all children in our clinic, we ask that if you need to leave the treatment room for any reason, you return to the waiting room and wait for the session to end. If your child and their therapist leave the room, either follow them or wait for them in the waiting room.
11. Please keep cell phone and tablet use to a minimum in treatment areas and place phones on vibrate or silent.
  Cell phone and tablet use is acceptable in the waiting room and other common areas, but please keep phone conversations brief and use headphones if watching videos or listening to music. Please take extended phone conversations outside the waiting room.
12. Please be mindful of the content discussed in your conversations (phone or in-person) or viewed on your electronic devices. Please only discuss topics or select websites, videos, music, etc. which are appropriate to discuss/view in the presence of children.
13. Please do not ask therapists about other clients or families at the clinic. In order to comply with HIPAA, we cannot answer these questions.
14. Be respectful of the ‘end of session’ time. Your therapist typically has less than 5 minutes to talk to you about the session. In most cases, there is another family waiting to begin therapy. If you need additional time to discuss a concern, ask questions, or problem-solve treatment activities, please join your child’s session or
  arrange for an alternative time to discuss those topics with your child’s therapist.
15. Due to the number of children we treat with allergies and restricted diets, we ask that no outside food be taken beyond the waiting room. If your therapist needs to incorporate food into the treatment session, they may request that you bring specific foods to your session. Please also clean up any food messes that occur
  as quickly as possible to avoid accidental ingestion by other clients.
16. Please make arrangements to attend your child’s therapy session when requested by the therapist. Having active parent participation in the therapy process is critical for learning/progress in skills and carryover of these skills to environments outside the therapy room. Additionally, we welcome parent requests to join treatment sessions. Please let your child’s therapist know if you would like to participate in a session.
As your team of therapists, you can expect us to:
1. Begin and end your appointments in a timely manner.
2. Inform you of the goals targeted and the progress made during each session.
3. Provide strategies and ways for you to address goals at home to increase carryover.
4. Assist you in any way we can, from brainstorming ideas to help make your families’ lives easier at home to
  talking with school therapists, etc.
5. Keep anything you share with us confidential.
6. Provide the best therapy we possibly can.
7. Write the therapist’s name on the treatment door so that you can easily locate your child, if needed.
8. Receive courteous and friendly help when scheduling appointments or dealing with billing questions.
If you have any questions about the above information, please don’t hesitate to ask us. We are here to help you!
I have read and understand the above Clinic Etiquette and agree to abide by it.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Legal Guardian Signature
Page 15 of 16

Scope of Practice
Characteristics of Persons Served:
Children ages birth to adolescence 21 may be served.

Medical Acuity & Medical Stability:
Children must be healthy and cleared for treatment by their physician. Children may not receive services if they have illnesses such as: fever of 100.5 or greater; pink eye; vomiting and/or diarrhea; or other highly contagious viruses and/or diseases.

Admission Criteria:
Children who experience delays, or are at significant risk for delays, in any area of development which negatively affects his/her functional performance and ability to participate in home, community and school activities.

Children from birth through 21 years of age will be considered for evaluation.
- Financial responsibility is established in accordance with the Financial Policy.
- An evaluation is completed which identifies the need for intervention.
- Additional factors considered before admission include areas of expertise of therapy staff and availability of appropriate treatment materials and equipment. If a client would benefit from treatment but is not approved for services at Joy Therapy and Learning Center due to the factors previously identified, he/she may be referred to other agencies that can provide needed services.
- Reports less than 3 months old for children under 3 years of age and less than 6 months old for children over 3 years of age from other agencies will be reviewed and may be accepted in lieu of performing an evaluation.
Discharge Criteria:
It is the policy of Joy Therapy and Learning Center to discharge clients who meet any of the following criteria: are 21 years of age; no longer demonstrate need for intervention; do not appear to benefit from continued services; are not meeting financial responsibilities to Joy Therapy and Learning Center; do not meet the required attendance; are removed at the request of the caregiver; or are removed at the discretion of the agency (including for safety reasons).
- No Longer Demonstrates Need: If a child has demonstrated sufficient progress in therapy and testing reveals the child’s skills are at age-appropriate levels (i.e., no further intervention is indicated), the therapist will review the child’s progress with the caregiver and plan a discharge date.
- Does Not Appear to Benefit: Progress in therapy is reviewed on a continuous basis. If a client does not meet therapy goals and/or does not demonstrate progress on re-evaluation after six months in therapy, the treating therapist will discuss the lack ofprogress and the treatment plan with their clinical supervisor and the child’s caregiver. They may revise the treatment plan to better fit the child’s needs at any time.
If a client does not meet therapy goals and/or does not demonstrate progress on a re-evaluation during the second six month treatment period, the treating therapist will discuss the treatment plan with their clinical supervisor and the child’s caregiver. An interdisciplinary team review shall be initiated. This discussion will include the possibility of revising the treatment plan, increasing or decreasing the frequency of sessions, and discharge if no progress continues to be noted.

At the end of 18 months of treatment, if no progress has been noted and the above steps were taken, the client may be discharged.

Financial Responsibility:

If a family is not meeting financial responsibilities to the agency as outlined in the Financial Policy, the client
may be discharged from therapy.

Poor Attendance:

Poor attendees may be discharged per the Attendance Policy.

Caregiver Request:

Discharge will be completed upon caregiver request.

Agency Discretion:

The agency reserves the right to discharge any client at any time for any reason.

Changing Therapists

A child may, at one time or another, experience a change in his or her therapist. This may happen for any one of the following reasons:
- Therapist relocation
- Therapist illness or family emergency
- Scheduling issues in which the family requests a different day of the week or time of day for ongoing therapy sessions. We will accommodate changes as they arise; however, this will occasionally result in the child switching therapists.
- Lack of progress or ‘connection’ with the child’s assigned therapist. Our number one goal is for the child to receive a maximum benefit from therapy. Occasionally, a child has a personality conflict with the assigned therapist or just doesn’t develop a good working relationship with the assigned therapist. In cases like this, it is in the best interest of the child to re-assign them to a different therapist. Additionally, the child or therapist may reach a point where the child still needs therapy but is failing to make acceptable progress. The change to a new therapist may assist the child to begin making progress once again.
- Change in the specific therapist’s schedule.
We make every effort to maintain continuity of care with as few changes as possible. When changes do arise, we will assist families in making the transition as smooth as possible.

Evaluation and Intervention:

Therapeutic evaluation and intervention is provided by state licensed and appropriately credentialed occupational therapists, physical therapists, and speech-language pathologists. Occupational therapy assistants, speech language pathology assistants, and physical therapy assistants provide services under the supervision of an occupational therapist or speech-language pathologist or physical therapist. In a collaborative process with the child and his/her caregiver, outcomes for therapeutic intervention are created and reassessed every 6-12 months to
determine frequency and duration of service.

Occupational therapy evaluation and intervention focuses on factors affecting the child’s independence in their occupations in the home, school, and play environments. A child’s occupation includes play, learning, peer interaction, and self-care skill development. Intervention techniques utilized are based on clinical reasoning, theories of occupational therapy practice, and evidence based practice. Intervention techniques include but are not limited to:
- Neurodevelopmental treatment approach
- Sensory Integration and modulation techniques
- Normal development of fine motor and visual motor skill activities
- Adaptive equipment
- Positioning equipment
- Oral motor intervention
- Cranio-sacral therapy
- Education of caregivers, child and family members
- Therapeutic Listening and Integrated Listening Systems (iLs)
- DIR Floortime
Physical therapy evaluation and intervention focuses on factors affecting mobility in the home, school, and play environments. Intervention techniques utilized are based on clinical reasoning, theories of physical therapy practice and evidence based practice. Intervention techniques include but are not limited to:
- Neurodevelopmental treatment approach
- Normal development of gross motor skill activities
- Adaptive equipment
- Positioning equipment
- Orthotic development
- Myofascial release
- Education of caregivers, clients, and family members
Speech therapy evaluation and intervention focuses on factors affecting the child’s speech, language, peer relationships, feeding and swallowing skills, and social skills in the home, school, and community environments. Intervention techniques utilized are based on clinical reasoning, theories of speech therapy practice, and evidence based practice. Intervention techniques include but are not limited to:
- Normal developmental sequences of expressive and receptive communication
- Oral motor intervention for feeding and swallowing safety
- Articulation intervention techniques
- Augmentative device selection, design, and programming
- Education of caregivers, clients, and family members
Our ABA staff will provide developmentally appropriate curriculum, experiences and activities, as well as therapeutic intervention. Joy Therapy & Learning Center is staffed by highly trained professionals. Staff and Administration will provide a program that:
- Promotes cognitive, emotional and physical development.
- Maximizes the independence and enhances the function and potential of young children.
- Provides individualized, quality services to children and their families.
- Provides a family-centered program to ensure that each family’s priorities, concerns, and cultures are addressed and incorporated into their child’s daily activities.
- Provides a naturalistic environment where each child’s overall development is enhanced and enriched.
- Includes children as active participants in their learning experience.
- Maintains and increases the expertise of staff and quality services by providing opportunities for ongoing professional development.
In order to accomplish these goals, we will provide a program that enthusiastically:
- Promotes regular communication with parents.
- Promotes specially trained staff and assistants.
- Promotes frequent, positive and warm interactions among adults and children.
- Provides planned learning activities and material appropriate to each child’s developmental age.
Our ABA department consists of a Board Certified Behavior Analyst (BCBA) who is licensed by the national Behavior Analyst Certification Board (BACB) as well as holds a Master’s degree in education, as well as Registered Behavior Technician’s (RBT’s) who are also certified by the BACB and receive 5 to 20 hours of documented direct supervision from the BCBA.
Please attach a copy of the parent/guardian Drivers License or other identification

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Please attach a copy (front and back) of your most recent Insurance Card (if applicable)

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Should be Empty:

Joy Therapy and Learning Center Intake Form

New Patient Information

Insurance Information

Emergency Medical Release

Medications / Allergies / Conditions

Photo Permission

Email Permission

Authorization and Consent for Evaluation, Treatment and Operations

Acknowledgement of Receipt of Notice of Privacy Practices (HIPPA)

History Form

General History

Pregnancy and Delivery

Developmental History

Feeding

Medical History

Social History & Living Situation

Educational History

Hearing & Vision

Personal Information

Patient Agreement

Medicaid & Private Insurance Co-Payments, Deductibles and Non-Covered Service

Collection of Past Due Accounts

Financial Agreement

Quality Assurance & Complaint Resolution

Patient Statement of Agreement

Financial Policy

Cancellation Policy

Clinic Etiquette

Scope of Practice