School Debrief Consent Form - SPOT Children's Therapy Centre

请仔细阅读

We include a 30 minute online debrief with the Psychologist and your child’s teaching team to review the report with them so that they understand the report and recommendations. Thank you for your cooperation.

Your details

Parent or guardian name*

Parent or guardian email*

Child's full name*

What is your relationship to the child?*

Which school is the child attending?*

I hereby give consent to share the SPOT assessment report as well conduct a 30 minute online debrief with teachers listed from the above mentioned school*

是的

Teacher details

Please provide details for the main teacher we can contact to coordinate the debrief.*

First name	姓	电邮

Please provide details for any additional teachers we should invite to the debrief meeting.

First name	姓	电邮

Signature

Today's date*

Signature*

Please sign inside the box using either your mouse or finger on a touchscreen device.

Phone

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知情同意书-学校反馈

We include a 30 minute online debrief with the Psychologist and your child’s teaching team to review the report with them so that they understand the report and recommendations. Thank you for your cooperation.

Your details

Teacher details

Signature

预约

SPOT Central

SPOT黄竹坑

SPOT愉景湾

SPOT Kowloon Bay

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