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  • Home
  • Services
    • Social Group/Classes
    • Intensives
    • Camp Kid Power
    • Therapy
    • Insurance
  • Parent Resources
    • What to do During a Tantrum?
    • Parenting in the 21st Century
    • Sensory Integration
    • Downloadable Resources
  • Forms
  • Contact Us
+1 (847) 748-8733

Forms

NEW PATIENT FORMS

Intake (pdf)

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Intake (pdf)

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Photo release (pdf)

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Financial Responsibility (pdf)

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Center Policies (pdf)

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Billing Authorization (pdf)

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HIPAA Policy (pdf)

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HIPAA Policy Client Consent (pdf)

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Get In Touch
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Kidnectivity

  • 600 Waukegan Road, Ste 132
    Northbrook, Illinois 60062, US

  • +1 (847) 748-8733

  • +1 (847) 739-7164

  • [email protected]

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Join Our Team!

Kidnectivity is looking for knowledgeable and enthusiastic therapist to join our team!  If you are an OT, PT, or SLP and interested in finding out more about the amazing opportunities available, CLICK HERE.