Free Tool: Accessibility Intake Form

Accessibility Intake Form.pdf

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At Duende Brain Injury Therapy, we created an Accessibility Intake Form to better understand how to meet our clients where they are neurologically, physically, emotionally, and with sensory sensitivities.

We’re now making it available for fellow providers who want to integrate more accessible, trauma-informed, and neurodiversity-affirming care into their practice.

This form helps collect:

• Cognitive, sensory, and emotional accessibility needs

• Client preferences for communication and learning

• Accommodations that reduce harm and build trust

  
  

It’s not diagnostic and doesn’t determine eligibility; it simply opens space for clients to tell us how therapy can work best for them. This is the first document our client receives. This ensures we can make adaptations to intake, consent, and disclosure documents. Barriers to services for folks with cognitive changes or differences include navigating complex EHR systems, documentation overwhelm, and insurance denials.

Whether you serve neurodivergent clients, those with brain injuries or chronic illness, or are just looking to make your practice more inclusive, this tool is adaptable and ready to use. Access the form above by downloading it and customizing it for your clients and clinic.

Let’s make meaningful care more accessible, one intake at a time.

With gratitude and fiery passion,

The Duende Team

Simplified paperwork = Better access to services