Email forms to: office@dicptherapy.com
If you are interested in obtaining our services, please read our Policies and Fees, Privacy Policies and Practices, and Cancellation Policy. Then, complete and return the following forms for an infant screening:
- Registration Form for Infant Screening
- Service Agreement for Infant Screening
- Developmental History for Infants
- Acknowledgement of Receipt of Privacy Policies and Practices
- Release of Information (if there is someone you would like us to contact)