If you have scheduled an evaluation, you must complete one of the following forms prior to your visit.


Instructions for completing the questionnaires:


  1. Click the link for the appropriate questionnaire
  2. Download and print the questionnaire
  3. Submit the completed questionnaire by either faxing it to 205-408-9257 or email it to 



Child Questionnaire (Ages 18 and Under)


Adult Patient Questionnaire


T.B.I. Questionnaire


Sensory Processing Questionnaire


School Age Child Symptom Sheet