Forms and Policies
Hard copies of these forms and policies are available at the office and presented at your initial appointment. Please reference them at your convenience should you have any questions or concerns.
We understand circumstances can be unpredictable for our families and we make an effort to be understanding and flexible regarding appointments. Please take some time to review our relevant policies.
At our practice we go above and beyond to keep our children safe. This form acknowledges that we do use gym equipment in an attempt to make therapy fun and interactive.
Please fill out our New Client Inquiry Form. It will automatically be submitted to us and we will reach out to you within 24 hours. If you prefer a hard-copy, please reach out to the office directly at hello@playonwordsvi.com.
We do our best to accommodate all our clients' financial needs. This document explains our policies and the reason behind some of the rules we must follow as a practice.
The Notice of Privacy Practices clearly states the responsibilities of Play OnWords, the uses and disclosures of protected health information as well as the patient's rights to privacy. The Acknowledgement of Receiving the HIPAA Form is a form for the client to sign that acknowledges that they have seen the HIPAA notice and understand its contents.
This form gives permission to the private practitioner to complete an evaluation and render appropriate therapy services.