Forms for your family.

Before therapy begins, we ask a parent or guardian to sign two short forms. Complete them online, or download a copy to fill in and bring with you.

Consent for Assessment and Therapy

Please read this form carefully. It explains the care we offer and asks for your permission to assess your child and provide therapy. Ask us about anything that is unclear before you sign. You can withdraw your consent at any time.

Complete online

Download PDF

Billing and Payment Agreement

This agreement sets out the fees for your child’s care and when and how payment is made. Our team will fill in, or confirm, the agreed fees and payment terms with you. All amounts are in Kenya shillings (KES).

Complete online

Download PDF

Need help, or prefer to sign at the centre? Call +254 717 964 201 or email info@bloomandgrowcenter.com.