KIDZ THERPY SERVICES

PT Y / N COUNSELING Y / N PARENT (ABA) (SEIT or RS circle one) Y / N TVI/TDF Y / N SUMMER: IEP INITIATION DATE: _____ IEP TERMINATION DATE:_____ Service (circle ABA if ABA services) # sessions Minutes (week/ /month) Ind. Grp Grp Size Location Current Therapist’s Name Will cont. RR / CONSULT / ABA Y / N SPEECH/LANG Y / N OT Y / N PT Y / N COUNSELING Y / N PARENT (ABA) … ................
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