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abilityplus
2025-03-31T13:19:08-04:00
Parent First Name
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MM slash DD slash YYYY
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Service(s) you are seeking
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Traditional Physical Therapy
Traditional Occupational Therapy
Traditional Speech Therapy
Intensive PT/OT Therapy
**Only select traditional PT, OT and/or ST if interested in ongoing traditional services. Select intensive therapy if interested in PT and/or OT intensive (typically 3-4 hrs per day, 5 days per week for 3 weeks) **
Reason for Services
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Services currently being received
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OT
ST
PT
None
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WE RESTORE THE BODY.
WE CONNECT THE MIND.
WE NURTURE THE SPIRIT.
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