What to bring to an appointment
| What to bring to an appointment |
| _____ |
Completed paperwork (see below for age-specific forms) Forms available online, unless otherwise specified
|
| _____ |
Release of information to the Alexander Center
|
| _____ |
Authorization for release of school information
|
| _____ |
Child behavioral checklist for ages 6 to 18 (not available online)
|
| _____ |
List of questions and concerns
|
| _____ |
Requested medical records
|
| _____ |
Insurance card for child
|
| _____ |
Payment method (check, cash, credit card or debit card)
|
| _____ |
Something to keep your child occupied in the waiting room
|
| Preschool age children |
| _____ |
Early childhood questionnaire
|
| _____ |
Child development inventory (not available online)
|
| _____ |
Preschool/day care questionnaire
|
| School-age children |
| _____ |
Intake questionnaire
|
| _____ |
Parent disruptive behavior disorder (DBD) rating form (one from each parent) (not available online)
|
| _____ |
DBD rating from one teacher (not available online)
|
| _____ |
Teacher information (for one teacher)
|
Contact us if you have questions or problems with the online forms, or need a form not available online.