Photograph and Video Permission Form

By signing and returning the Photograph and Video Permission form, you have authorized me, your child's occupational therapist, to take pictures and videos of your child for the sole use of enhancing the therapeutic process for communicating his/her treatment plan with you on this wiki page. Pictures and videos are so beneficial and effective in means of relaying specific therapeutic interventions to the family for carry over into your child's natural home and community environments. These media sources allow us to share motor, sensory and behavioral strategies, exercises programs, peer interactions, positioning & handling recommendations, feeding techniques, and sensory regulation.

Please download the CAIU Photograph and Video Permission form below. Sign and return the form either with your child to school/therapy or if you chose to send in the mail, address to: CAIU, Attention: 55 Miller Street, Enola, PA 17025. Once the form is received, a code will come to you in an email. You will be prompted to use this code to access secure information and photographs/video of your child on this OT wiki page. If you have additional questions, please call Jeannine Uhler, MSPT at 717-732-8400, ext. 8348