FOCUS Therapy ADOS Testing Fort Myers

If your child is scheduled for ADOS Testing at FOCUS Therapy, please carefully read, complete, and submit the following online ADOS Testing Deposit Agreement Form.

ADOS Deposit Agreement

The parent/guardian of patients scheduled for ADOS testing must agree to pay a $100 deposit to hold their appointment.
Parent or Guardian Name(Required)
Patient Name
ADOS Testing Consent Agreement(Required)
Date of Form Submission(Required)
Name of Person Submitting This Form(Required)