Our intake form is very detailed. Please plan approximately 30 minutes to complete this form. Below we have provided a checklist of common things you will need (if applicable) before completing this form. Please read prior to completing this form.

• Front picture of insurance card

• Back picture of insurance card

• A copy of your child’s IEP (if applicable)

• A digital copy of my child’s hearing results and/or medical diagnostic reports (if applicable)