Intake Forms

Informed Consent for Occupational Therapy

This notice describes how health information may be used and disclosed, and how you can get access to this information. Please review it carefully.  

Practice Policies

Please download, review, and sign Adaptive Life Therapy's Practice Policies Consent Document. 

Release of Information Consent

Please download, review, and sign Adaptive Life Therapy's Release of Information Consent Document. 

Adult Intake

Please download, review, and sign Adaptive Life Therapy's Adult Intake form.

Child Intake

Please download, review, and sign Adaptive Life Therapy's Child Intake form.

Consent for Telehealth Consultation

Please download, review, and sign Adaptive Life Therapy's Consent for Telehealth Consultation form.

Client Financial Responsibility Form

We ask that you read and sign this form to acknowledge and agree to accept financial responsibility for services rendered by Provider to Client.

Consent for Use of AI Tools

Please download, review, and sign Adaptive Life Therapy's Consent for Use of Artificial Intelligence (AI) Tools in Therapy
Services form.

Media Release Form

Please download, review, and sign Adaptive Life Therapy's Media Release form.

Consent to Record Audio Form

Please download, review, and sign Adaptive Life Therapy'sConsent to Record Audio form.