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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 fill-in the questionnaire
  3. Submit the completed questionnaire by either faxing it to 205-408-9257 or email it to


Child Questionnaire (Ages 18 and Under)

Adult Patient Questionnaire

T.B.I. Questionnaire

Sensory Processing Questionnaire

School Age Child Symptom Sheet



Dr. Sharon and Mr. Randy Snider will be hosting a free seminar at 6:30 pm, February 25 at their Dothan, AL clinic! The topic will focus on hidden sources of learning and behavior problems. Please call (334) 446-6073 to reserve your spot today.