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Questions? email: contact us call: 330.405.8776 |
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FORMS OVERVIEW |
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Forms |
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| Registration Form | online | |
| Intake Form | online | download |
| Photograph Release | online | download |
| Policies Sign Off | download | |
| Respite Care - Emergency Contact Information | download | |
| Client Information Release | download | |
| SMILE Summer Camp™ Application | online | |
| SMILE Summer Camp™ Feedback Survey | download | |
| Camp Suntastic™ Application | online | |
| Camp Suntastic™ Fundraising Flyer | Download | |
Autism Evaluations |
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| Autism Evaluation Quiz | online | download |
| Modified Checklist for Autism in Toddlers (M-CHAT) | online | download |
Speech & Language Evaluations |
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| Toddler Talking Quiz | online | |
| Speech/Language Self-Evaluation 1-year | online | download |
| Speech/Language Self-Evaluation 2-year | online | download |
| Speech/Language Self-Evaluation 3-year | online | download |
| Speech/Language Self-Evaluation 4-year | online | download |
| Speech/Language Self-Evaluation 5-year | online | download |
Other |
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| Peak Potential Therapy LLC Policies | online | download |
| Employment Application | online | |
| Walk Now for Autism Support Flyer - 2008 | download | |
| Grant Sources for Families- 2010 | download | |
| Donations | online | |
| Peak Potential Therapy Brochure | download | |
| Website Feedback Form | online | |
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Peak Potential Therapy LLC copyright ©2010. All rights reserved. Individuals may print one copy for their personal use. Content may not be reproduced in whole or in part in any form or format without written permission. |
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