Lisa's Holistic Rehab

        Occupational Therapy and Neurofeedback Inc.

  Rehabilitate your Brain

Below are forms that must be filled out in order to open a file with Lisa's Holistic Rehab.  It is best to fill them out prior to your first visit and bring them with you (don't fax or email).  This will save time during the first visit where it will be reviewed and the assessment will start immediately.  Otherwise the first visit is spent going over this information.


Please fill forms out to the best of your ability.  The more information we have, the better we can serve you.  Feel free to share what you feel comfortable sharing.



Forms for children

Forms for adults

Extra forms and information

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