Interact Therapy - Logo
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Billing

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

(701) 532-1896

Interact Therapy - Logo
,
This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

Fax

Billing

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

(701) 532-1896

Initial Intake Forms

Share Your Details With Us

Free Screenings  |  Quality Care  |  Locally Owned

Free Screenings

Quality Care

Locally Owned

Request a Free Screen

Hours:

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

Forms to Be Filled Before Sessions

Help the staff at Interact Therapy serve you and your kids better by sharing all the necessary details. Fill out the following forms beforehand, so we can make the intake process faster. Reach out to us if to get answers for your questions.

Child Intake Form Consent Photo ROI HIPAA Form Payment Policy Cancellation Policy

If your child is needing feeding therapy, please fill out this additional form.

Feeding History Form

Request a Free Screen Today!

Request a Free Screen
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