Think Tank Therapy
Admission form

Think Tank Therapy provides innovative behavioral therapy with our multi-disciplinary team. Children will have the opportunity to be assessed by SLP/OT/ABA regularly in a warm friendly environment.

We look forward to meeting you. First, Think Tank Therapy ask for some information to get you know you and your child better before the tour.

Student Information

Parent/Guardian Information

Address

Sibling Information

Questionnaire

History

Please state N/A if there is nothing signifcatant to report.

Life Events

Please indicate if your child has been through any recent life events or will be in the next 6 months.

More information about your child's individuality

This questionnaire is for Think Tank Therapy to best understand your child’s social and instructional experiences before they attend therapy. Please answer the questions to the best of your ability and explain further when required. We would appreciate being update if these answer change within the course of your time receiving services with us.

Extras

Thank-you

Think Tank Therapy will review your admission form with 48 hours. A Think Tank Member will contact you within seven business days to explain waitlist, tour policies and to answer any questions.



9054428265

1 Hartwell Ave Unit 201, Bowmanville, ON L1C 5G5

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