Northland-Rural Therapy Associates
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  • Home
  • Our Team
    • Administration
    • Physical Therapists
    • Occupational Therapists
    • Speech Therapists
    • AzEIP Team
    • Careers
  • Our Services
    • Physical Therapy
    • Occupational Therapy
    • Speech-Language Pathology
    • Related Links
  • Special Programs
    • AZ Early Intervention Program
    • Summer Groups
  • Company Use
    • Therapist Resources
    • Therapist Instructional Videos
    • Policies & Procedures
  • Parent Resources
    • Tips & Tricks


Forms for Parents & Clients

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1. Complaint Grievance Form

2. Photo Release Form

3. Private Policy

4. Release of Confidential Information

5. Release and Waiver of Liability

6. Treatment Agreement Form

7. No Show Policy





Exercise Class Waiver
File Size: 62 kb
File Type: pdf
Download File

Insurance Form.pdf
File Size: 271 kb
File Type: pdf
Download File

Photo Release Form
File Size: 599 kb
File Type: doc
Download File

Private Policy
File Size: 33 kb
File Type: doc
Download File

Release of Confidential Information
File Size: 28 kb
File Type: doc
Download File

Release and Waiver of Liability
File Size: 24 kb
File Type: doc
Download File

Treatment Agreement Form
File Size: 268 kb
File Type: pdf
Download File

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