The CharityPress community was named a “Top 25 Best Global Philanthropist” by Barron’s. We beat Oprah. And, Mashable named CharityPress something like that.
Please download and fill all the required forms below before your first visit. Once filled you can email, fax or bring in the forms with you to your first appointment.
Patient Intake – Auths and Consents Form (English) (Required)
Formulario de admisión de pacientes (Requerido)
HIPAA Form (Required)
HIPAA Form (Spanish – Requerido)
Developmental History
Teacher Questionnaire
Initial Evaluations (Evaluaciones iniciales)
Due to extreme demand and our growing waitlist of children in need of services, all Initial Evaluation appointments must be confirmed at least 24 hours before the date and time of the appointment. You will receive several calls for appointment confirmation from our staff. If you do not confirm your child’s appointment, it will be cancelled and given to the next child on the list.
Accessibility Tools