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Home » Contact Us » Patient Forms

Patient Forms

If you have scheduled an evaluation, you must complete one of the following forms prior to your visit.

Instructions for completing the questionnaires:

  1. Click the link for the appropriate questionnaire
  2. Download and print the questionnaire
  3. Submit the completed questionnaire by either faxing it to 205-408-9257 or email it to Birmingham@snidertherapy.com

Forms:

Child Questionnaire (Ages 18 and Under)

Adult Patient Questionnaire

T.B.I. Questionnaire

Sensory Processing Questionnaire

School Age Child Symptom Sheet

 

SNIDER EDUCATIONAL TALK (S.E.T.)


    Dr. Sharon and Mr. Randy Snider will be hosting a free seminar at 6:30 pm, July 12 at their Dothan, AL clinic! The talk will be centered on “A Hidden Source of Learning and Behavior Problems”.