Teen & Adult Forms

Please click on the forms* below to download them.  Once you have completed the forms, please follow the directions below about how to return the forms to us.   Additionally, please send all previous documents you have – Ex: Prior evaluation reports, Reports from doctors or other therapists, Educational Reports, etc. 

*Note: Some forms are for both Teens and Adults, and some forms are for Teens only.  Please select the appropriate forms       

 There are two ways to complete & submit these forms: 

1) Open each form with a PDF program and fill out the information on your screen.  Then save the file(s).   Send the saved files (and additional documents) to:  [email protected]   Or,  attach the files to the form below

2) Print the forms, and fill out the information by hand.  Then scan the papers, and email them (along with any additional documents you have) to:  [email protected] Or, attach the files to the form below.   Alternately, if you have booked an appointment at least 2 weeks in advance, you can mail the papers (a large, manilla envelope works best) to: Horizon Speech Therapy Services, 381 Park Street, Suite 1A, Hackensack, NJ 07601.

                        
                      
Click or drag files to this area to upload. You can upload up to 10 files.