Toddler Intake Form

Date *

MM

DD

YYYY

Name *

First Name

Last Name

*

I acknowledge that in the beginning, teaching my toddler correct sleeping habits requires strong levels of commitment. I am prepared for 1-3 weeks of hard work while the new skills are being taught and my partner or support person is on board with these changes.

*

I acknowledge that in the beginning of the sleep training process I will need to be organised in my daily life and have minimal commitments, so I can focus 100% on teaching my toddler to sleep better.

*

I acknowledge that there may be some crying involved during the sleep training process.

*

I acknowledge that I will need to be consistent throughout the sleep training process and follow the guidelines of the sleep training method I have chosen. I have ensured that my toddler's sleep environment is safe and in line with the SIDS guidelines.

Toddler's Name *

First Name

Last Name