STEP 1

STEP 2

REGISTRATION, POLICIES & PERMISSIONS FORM

• This form must be filled out even if you have attended sessions at our clinic before.

$320 DEPOSIT AND $50 NONREFUNDABLE PROCESSING FEE

• After completing the registration form, check your email for a message from Social Thinking Stevens Creek inviting you to sign into your Client Portal

  • Please allow 2-3 business days for this email to arrive

• You can submit payment for the deposit and processing fee through the Client Portal or you can call 408-244-2005 to pay by credit card

  • Your card will not be charged until you have completed your application

STEP 3

STEP 4

STEP 5

NEW CLIENT INFORMATION FORM

TEACHER QUESTIONNAIRE

• Please send this link https://forms.gle/WUKhjiJ4gUkFa3x1A to as many of your child’s teachers as possible. This form is available as a PDF upon request.

RECENT PICTURE OF YOUR CHILD

A SHORT VIDEO OF YOUR CHILD (2-3 MINUTES)

• This might include your child:

  • Pretend playing with someone else (e.g., parent, sibling, friend, etc.)

  • Having a conversation with someone about a recent event or experience (e.g., day at school, trip to the beach, etc.)

MOST RECENT REPORTS

• Please send any of the following (if applicable):

  • Individualized Education Program (IEP)

  • 504 Plan

  • Psycho-educational assessment

  • Neuropsychological evaluation

  • Speech and language assessment/report

  • Doctor’s letter OR report including medical diagnosis (not required but helpful if seeking insurance reimbursement)

• Please email documents to Patty Garza pgarza@socialthinkingsc.com