Pre-consultation Form

​If you are interested in learning more about how OT may help your child and would like to receive a complimentary consultation via phone, we'd be happy to connect with you. 

What to do: Please open and save the Pre-consultation form to your computer, fill it out, save again, and email it to [email protected]  Please combine all pages into one document for emailing, preferably in pdf format. (Please do not fill out the form that opens in your browser, as your responses will not be saved.) We will then be back in touch with you shortly to schedule your phone consultation. We look forward to connecting with you.

Note: If Adobe Reader does not save your responses, you may need to download the most current version directly from the Adobe website.​​

​Information sent by unencrypted email poses some risk that the content could be read by a third party. If you would prefer to mail in your printed copy, please send to: PlaySteps, 849 Menlo Ave, Menlo Park, CA 94025.

Pre-consultation
Form

Registration Packet

If the submission of your pre-consultation form and phone call lead to the next step toward therapy, please complete the Registration Packet .

What to do: Please open and save the Registration Packet to your computer, fill it out, save again, and email it to je[email protected]  Please combine all pages into one document for emailing, preferably in pdf format. (Please do not fill out the form that opens in your browser, as your responses will not be saved.)

Note: If Adobe Reader does not save your responses, you may need to download the most current version directly from the Adobe website.​​

​Information sent by unencrypted email poses some risk that the content could be read by a third party. If you would prefer to mail in your printed copy, please send to:
PlaySteps, 849 Menlo Ave, Menlo Park, CA 94025.
 
Separate links to the forms included in the Registration Packet (9 forms total):

Introduction Letter
Cancellation Policy
Registration Form
Developmental History Questionnaire
HIPAA Form
Informed Consent Form
Release Form
Waitlist Form
Diagnosing Professional Forms

Registration
Packet

Please visit our  Frequently Asked Questions  page.