APPLE Forms

The forms below are forms frequently used for our students. A.P.P.L.E. families are welcome to download at any time as well as any others visiting the site who may find the forms helpful. A.P.P.L.E. Clinical Forms

ABC FORM (click to download)
DAILY LOG (click to download)
DAILY LOG - PROBE METHOD (click to download)
DIPR (DAILY INDIVIDUAL PROGRESS REPORT) (click to download)
FAMILY TARGET FORM (click to download)
GRAPH - EQUAL INTERVAL (click to download)
GRAPH - EQUAL INTERVAL - % (click to download)
MAINTENANCE & GENERALIZATION RECORD (click to download)
PROGRESS CHART - MONTHLY (click to download)
RECOMMENDED MATERIALS LIST (click to download)
SURROGATE CAREGIVER PERMISSION (click to download)

The following general forms are needed to begin the intake process for services.

You may fill them out and email them to DrApple@apple-asd.com or fax to 425-396-0729 to get the intake process started.

You may also dial 206-437-5412 for more information and the remainder of needed forms. A.P.P.L.E. New Student Intake Forms

1. GENERAL INFO SHEET (click to download)
2. INITIAL ASSESSMENT FORM (click to download)
3. SCHEDULE AVAILABILITY FORM (click to download)
4. NOTICE OF PRIVACY POLICIES (click to download)
5. CONSUMER RIGHTS & RESOURCES (click to download)