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HOME
Our Team
Services
LOCATIONS
Summer Camp
Forms
Contact
Blog

Download Intake Forms

Intake Forms and TLC Policies

Please download the appropriate forms and complete them. Email to susan@tlcgeorgia.com or fax 404-937-2983. Feel free to stop by!

ABA Initial Short Form to Request Services UPDATED 2.23 (pdf)Download

ABA Formal Intake Form 2023 (pdf)Download

TLC Policies and Procedures 2023 (pdf)Download

TLC Georgia Notice of Privacy Policies (pdf)Download

COVID-19 CONSENT FORM (pdf)Download

Authorization for Release of Information (pdf)Download

Authorization Release for Audio/Video (pdf)Download

Tutoring Intake Form (pdf)Download

TLC OT Intake Form 2023 (pdf)Download

TLC Speech Therapy Intake Form (pdf)Download

TLC OT and ST Intake Form (pdf)Download

INTERNSHIP APPLICATION FOR SUMMER UNDERGRAD STUDENTS 2023 (pdf)Download

Therapy & Learning Center of Georgia

11285 Elkins Road, Roswell, Georgia 30076 3900 Legacy Park bLVD. suite 100-a kennesaw ga 30144

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Two Clinics Roswell and Kennesaw

ABA, ST, OT, Summer Camp

Email us to get started!