Welcome!
This form will help collect valuable details about your child's personality, needs, strengths as well as their medical and social-developmental history. The information provided in this form will help create the most accurate snapshot of your child in their evaluation report. It will also help guide therapy recommendations and a future therapy plan.
Please contact treisha@illuminatefamilyworkshop if you have any questions. This form is on a HIPPA compliant platform. All information is confidential.
-- P.S. The "save" button is located at the bottom of the form if you need to pause and resume at a later time.