STN Telehealth Materials Checklist
Thank you for participating in Telehealth services with Seattle Therapy Network (STN). Please complete this form to share more information regarding your child's favorite toys and activities, as well as what materials are available in your home to use during therapy sessions. 
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Email *
Client's name *
What services are you receiving from STN? *
Required
What are your child's favorite toys and activities? *
What technical accessories are available for use? *
Required
What art and craft supplies do you currently have available in your home? *
Required
Games *
Required
What toys are available in your home? *
Required
What movement materials/equipment is available in your home? *
Required
What cooking/eating materials do you have available? *
Required
Are there any food/ingredients that are not accessible or used in your home? 
Are there any considerations we should keep in mind if we are supporting mealtime routines? 
What rooms within the home are available for telehealth? *
Required
What seating options are available for telehealth when needed? *
Required
Is there anything about your home that you would like me to know about?
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