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Referrals for Assistive Technology Assessments and Training

Please submit the following along with this referral form: AT Referral for Services (complete electronically)

• Authorization that commits to payment of the service fee (Example: Purchase Order, Agency Service Authorization Form, Letter from Authorizing Party)

• Copies of current evaluations/medical information pertinent to this evaluation process. (Example: evaluations from school system, individual educational plans, evaluation’s conducted by private therapists, doctor’s records, etc.)

Fee schedule

• Assistive Technology Assessment are $475.00.

• Individual Trainings are $75.00 per hour.

• Consultations are $75.00 per hour.

• Group Trainings are $100.00 per hour.

• Travel at $37.50 per hour.

Refer questions to Kim Morris at (919) 233-7075 or kmorris@ncatp.org.

Send Completed Packets To: Kim Morris, 4900 Waters Edge Dr., Suite 250, Raleigh, NC 27606

Phone: 919-233-7075 Fax: 919-233-7081

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