Prior to attending the programs, please print out and complete the program forms for your program.
The forms listed below are in .pdf format. You will need the Adobe Acrobat Reader to view them.
Each form will open in a new window/tab.
- Health Care Protected Information Disclosure Form (PDF)
- Request for Service (PDF)
- Occupational Therapy Center Information Form (PDF)
Occupational Therapy Children & Youth Program Intake Form (PDF) (This form does not need to be completed if the program participant is 18 years or older. *Also, if registering for Pre-driving Readiness, the Pre-driving Readiness Intake Form below replaces this form.)
Please fill out this form IN ADDITION TO the first 4 forms above for Pre-Driving Readiness.
(If registering only for Pre-driving Readiness, the Occupational Therapy Children & Youth Program Intake Form is not necessary.)
Forms may be returned in the following way:
Occupational Therapy Center
Institute for Well-Being
8000 York Road
Towson, MD 21252
Fax: Send to Attn: C. Clark at 410-704-6303
In Person: By visiting the Institute for Well-Being Business Office, room 200, Institute for Well-Being, One Olympic Place, Towson, MD 21204, during regular business hours. The Business Office is open Monday – Thursday from 8:30 am – 5:00 pm and on Fridays from 8:30 am – 4:00 pm.