For all private insurance clients, prior to starting services with your child, we will need the following from you. You can read and fill out the forms here or download the PDF’s and return to aneri@leapsandboundsil.com.
Document Library
7. Teletherapy Consent Form
(for clients interested in teletherapy)
9. MD Script
We will need a physician’s referral prior to our initial evaluation. You can email it to aneri@leapsandboundsil.com, or have your pediatrician’s office fax it to 312-610-5655.