Consent / Refusal for Collaboration

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It is important for DV Therapy Therapists to be in contact with your child’s physician and to ensure your child receives the best quality of collaborative, coordinated care. In order to comply with specific rules regarding HIPAA (Health Insurance Portability & Accountability Act of 1996), we ask that our clients complete and sign this health information document.



    Behavioral health clinician:


    Primary care physician


    Check out our Reviews!

    5 star ratingDV Speech therapy has been life changing for my family and our 3 yr old son. He adores Miss... read more

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    Joy G.
    2 years ago

    5 star ratingThe therapist are great they know how to work with our kids as no 2 kids are the same. They... read more

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    Katie G.
    1 year ago

    My child has been going to DV therapy for couple months and we have seen great improvement. The therapists are... read more

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    J K.
    1 year ago