Hyperbaric Oxygen Therapy & Conductive Education Center  
Sara's Garden - Hope. Help. Healing.
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The Sara Joy Rychener-Burkholder Hyperbaric Center ● 620 West Leggett Street ● Wauseon, OH  43567 ●

Download Forms

Our newest state-of-the-art  hyperbaric chamber.Below are some pertinent forms for Sara's Garden that are available online to download.

Hyperbaric Oxygen Therapy
    Registration Form - Client
    Registration Form - Support Person/Caregiver
    Medical History Form - Client
    Medical History Form - Support Person/Caregiver
    Informed Consent and Authorization Form
    Physical Examination Form
    Physician HBOT Information Form
    Acknowledgment of Privacy Practices Form
    Checklist
       
Hope Center
    Hall Rental Agreement

Online Forms

Below are some online forms that are available for users to fill out and submit to Sara's Garden.

Conductive Education
    Conductive Education New Student Application
Hope Center
    Hope Center Reservation Form
Sara's Garden
    Online Donation Form

Marketing Datasheets

Below are some marketing datasheets that are available for you to download and print.

Conductive Education
    Conductive Education Datasheet   Low Res (345KB)   High Res (2.08MB)
Hyperbaric Oxygen Therapy
    Hyperbaric Oxygen Therapy Datasheet   Low Res (323KB)   High Res (1.94MB)
    Healing with Hyperbarics Datasheet   Low Res (327KB)   High Res (1.95MB)
Sara's Garden
    Donation Pledge Card   Low Res (189KB)   High Res (1.58MB)
    History & Mission Datasheet   Low Res (322KB)   High Res (1.94MB)

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