Virtual Consent Forms

Please complete a virtual consent form for Psychological Counseling services, Speech Language services, Physical Therapy services or Occupational Therapy services. Submissions will immediately be forwarded to the Office of Pupil Personnel Services and kept on record. Virtual services are unable to begin without a completed consent form. If you have any questions please call the Office of PPS at 631-474-8127.

Consent for Virtual Counseling - English

Consent for Virtual Counseling - Spanish

Consent for Virtual Speech/Language - English

Consent for Virtual Speech/Language - Spanish

Consent for Virtual Physical Therapy Services

Consent for Virtual Occupational Therapy Services