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Kinetic Kids Occupational Therapy, PLLC
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    • Home
    • About Us
    • Services
      • Services
      • Specialty Areas
      • Payment
    • Blog
    • Testimonials
    • Gallery
      • Kinetic Climbers
      • Kinetic Movers
      • Kinetic Fine Motor
      • Kinetic Facility
      • Our Therapists In Action
    • Contact Us
Kinetic Kids Occupational Therapy, PLLC
  • Home
  • About Us
  • Services
    • Services
    • Specialty Areas
    • Payment
  • Blog
  • Testimonials
  • Gallery
    • Kinetic Climbers
    • Kinetic Movers
    • Kinetic Fine Motor
    • Kinetic Facility
    • Our Therapists In Action
  • Contact Us

Download our intake form here

Kinetic Kids Occupational Therapy PLLC Intake Form 2024-2025 (pdf)Download

How to Download and Email the Intake Form

Option 1: Print, Fill Out, Scan, and Email

1. Download the PDF:

  • Click on the link provided above to download the form.
  • The form will either open in a new tab or download to your computer.
  • If it opens in a new tab, click on the download icon (usually looks like a downward arrow) to save it to your computer.

2. Print the Form:

  • Open the PDF from where it’s saved on your computer.
  • Click on the print icon or press Ctrl + P (Windows) or Cmd + P (Mac) to print the form.

3. Fill Out the Form:

  • Use a pen to complete all required sections on the printed form.

4. Scan the Completed Form:

  • Use a scanner to scan the completed form back into your computer.
  • Save the scanned document with a new file name (e.g., "FirstLastName_Intake_Form.pdf").

5. Email the Completed Form:

  • Open your email program and compose a new email.
  • Attach the scanned PDF file and send it to kinetickidsot@gmail.com.

Option 2: Fill Out the PDF Using Software and Email

1. Download the PDF:

  • Click on the link provided to download the form.
  • The form will either open in a new tab or download to your computer.
  • If it opens in a new tab, click on the download icon (usually looks like a downward arrow) to save it to your computer.

2. Open the PDF Using Software:

  • You can use Adobe Acrobat Reader (free), Microsoft Edge, or another PDF-filling software like PDFescape, or Preview (Mac users) to open the form.

3. Fill Out the Form:

  • Use the software’s tools to click on each field and type in your information.
  • Double-check all your entries for accuracy.

4. .Save the Filled-Out Form:

  • Once you’ve completed the form, save it with a new file name (e.g., "FirstLastName_Intake_Form.pdf").

5. Email the Completed Form:

  • Open your email program and compose a new email.
  • Attach the filled-out PDF file and send it to kinetickidsot@gmail.com.

Privacy and Support

We take your privacy and the security of your personal information very seriously. All documents and personal information submitted to us are kept confidential and are protected by our privacy policies.


If you have any questions or encounter any issues while downloading or emailing the intake form, please do not hesitate to reach out to us. We are here to assist you every step of the way.


Your trust and satisfaction are our top priorities. We look forward to assisting you.

Contact Us

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