STATEMENT OF SERVICES

Zandra C. Sabariaga, OTRP

June 16- Aug 25, 2017

Regular Therapy Sessions

Client’s Name Date Service Rendered Time Reference No.

Emmanuel Jan 06/16/2017 OT 1:00pm-2:00pm
Paguli 06/24/2017
07/07/2017
07/14/2017
07/21/2017
07/28/2017
08/04/2017
08/11/2017
08/25/2017
Kaleb Sugatan 06/16/2017 OT 12:00nn-1:00pm
06/24/2017 OT
06/30/2017 OT
07/07/2017 OT
07/14/2017
07/21/2017
08/04/2017
08/11/2017
08/25/2017
Stephanie 06/16/2017 OT 10:00-11:00am
Quintero 06/24/2017 OT
06/30/2017 OT
07/03/2017 OT
07/07/2017 OT
07/14/2017(2HRS) OT
07/21/2017(2HRS) OT
07/24/2017(2HRS) OT
07/28/2017(2HRS) OT
08/04/2017(2HRS) OT
08/07/2017(2HRS) OT
08/11/2017(2HRS) OT
08/14/2017(2HRS) OT
08/25/2017(2HRS) OT

Ryu Shannuel 06/16/2017 OT 2:00pm-3:00pm

Arriola 06/24/2017 OT
07/07/2017
Nathan Barcelona 06/16/2017 (2HRS) OT (2HOURS) 3:00-4:00pm
06/24/2017 OT
06/30/2017 OT
07/03/2017 OT
07/07/2017 OT
07/21/2017(2HRS) OT(2HRS)
07/24/2017 OT
 07/28/2017 OT
08/04/2017(2HRS) OT
08/07/2017 OT
08/11/2017 OT
08/14/2017 OT
08/25/2017 OT

Khalil Bacungan 06/16/2017 OT 9:00am-10:00am

06/30/2017 OT

Jared Lara 06/16/2017 OT 12:00nn-1:00pm

Alexandrei Lara 06/16/2017 OT 1:00-2:00pm

Kersten Navarro 07/24/2017 OT

Dylan 07/14/2017 OT
07/21/2017
08/25/2017
Jaden 08/14/2017(Initial OT
eval) OT
08/25/2017
Thank You!

Prepared by:
Zandra C. Sabariaga, OTRP

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