Forms for the Center for Health, Learning and Achievement


Center for
Health, Learning
& Achievement

A Multi-Disciplinary team

Helping Children & Families Reach Their Highest Potential

	Microsoft Word format	Adobe Acrobat PDF version
Insurance Form	Download Insurance Form	Download Insurance Form

Notice of Privacy Practices	Download Privacy Policy	Download Privacy Policy

Parent Questionnaire	Download Parent Questionnaire	Download Parent Questionnaire

Neuropschological Checklist	Download Neuropschological Checklist	Download Neuropschological Checklist

Adult Questionnaire	Download Adult Questionnaire	Download Adult Questionnaire

Gifted Questionnaire	Download Gifted Questionnaire	Download Gifted Questionnaire

Sensory History	Download Sensory History Form	Download Sensory History Form

Social Skills Intake Form	Download Social Skills Intake Form	Download Social Skills Intake Form

Educator Questionnaire	Download Educators Questionnaire	Download Educators Questionnaire

You will need Acrobat® Reader to view and print the forms in PDF format. This free software may be downloaded from Adobe.