Sound Sensitivity – Forms Packet
$15.00
WORD versions of forms found in “These Sounds are Driving Me Crazy” – editable to customize with your own information.
Description
The packet includes the following editable forms:
- CA Residents Psychotherapy – Intake and Consent/Agreements:
- Child
- Adolescent
- Adult
- Informed Consent
- Questionnaires
- MAQ: Misophonia Questionnaire
- Miso Intake Questionnaire
- THI: Tinnitus Handicap Inventory
- Hyperacusis Questionnaire
- Accommodation Request Templates
NOTE: These forms include places for diagnoses and medical history information. This information is usually requested or required for school accommodations. For work settings, client may need to consult with Human Resources department before creating the request. Some employment settings specifically direct their personnel NOT to include such info, but merely to state the requested accommodations.- 504 School Accommodations
- College Classroom Accommodations
- Housing/Dorm Accommodations
- Work Setting Accommodations
- Tracking Sheet (summarized listing of interventions and concepts)
- Out of State Coaching – Intake and Consent/Agreements:
- Child
- Adolescent
- Adult
- Informed Consent: Sound Sensitivity
- Informed Consent: Individuals and Couples (not related to Sound Disorders)
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