Home / Forms & documents

Forms & Documents

Everything a new family needs, in simple PDFs. Print, sign, and bring them to your first session, or email signed copies to [email protected]. Paper copies are always available at the office.

✍️ Please sign before services begin

Rate Sheet & Service PoliciesRates, payment, cancellations, and how services work day to day.

Download ↓

Consent for ServicesRequired in Pennsylvania: your written consent for Susan to work with your learner (under 18). Learners 18 and older use the adult form below.

Download ↓

Cancellation & Attendance PolicyNotice for cancellations, free same-week rescheduling, illness and weather, and missed sessions.

Download ↓

Emergency Medical AuthorizationEmergency contacts and permission to act quickly if your learner needs help during a session.

Download ↓

Custody & Authorized Consent AttestationConfirms decision-making authority and who may bring your learner to sessions.

Download ↓

🎓 If the learner is 18 or older

Adult Consent for Services & Release of InformationSigned by the learner: consent for services, plus a release naming the family members Susan may share scheduling, payment, and progress information with. Replaces the consent, emergency, and custody forms for adults.

Download ↓

💻 If you'll use virtual sessions

Virtual Services ConsentHow video sessions work, privacy expectations, and caregiver availability for minors.

Download ↓

📝 Helpful before your first session

New Student Intake QuestionnaireTell Susan about your learner: strengths, interests, history, and goals. Every answer optional.

Download ↓

📸 Already signed? Send your forms here

Snap a photo of each signed page (or attach a scan/PDF) and send. They go straight and privately to Susan. No printer-scanner gymnastics required.

Questions about any form? Ask anytime, or bring your questions to the free 15-minute consultation.