Shannon E. Taylor PhD PA
Clinical Neuropsychology
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Pediatric Guide to NeuroP
IMPORTANT PAPERWORK & FORMS
Please print and complete all forms & bring to your appointment
Background & History - Child
Consent for Treatment
- Child
Patient Information
- Child
Information for Payment - Child
Release of Information
- Child
Consent to Photo
- Child
Consent for TeleHealth
- Child
Background & History - Adult
Consent for Treatment
-
Adult
Patient Information
-
Adult
Release of Information
-
Adult
Consent to Photo
-
Adult
Consent for TeleHealth
-
Adult