If you have any questions or concerns about any of the forms please contact us.
Website and Social Media Release Form
Covid-19/Coronavirus Exposure Mitigation Agreement
This notice describes how medical information about you may be used and disclosed.
This is to authorize that the information regarding the above individual be forwarded by mail, fax, or phone.
I hereby give my agreement and consent to kiddOTherapy to furnish appropriate rehabilitative care and treatment according to the recommended plan of care as discussed with my therapist.