Intake Forms Thank you for your interest in scheduling an evaluation with our feeding team. Before an appointment can be scheduled, we need to have you complete the enclosed questionnaires for our providers to review. Please complete this feeding questionnaire as soon as possible and return it to the following address: Kirch Developmental Services Attn: Kimberly Brown 601 Elmwood Avenue, Box 671 Rochester, NY 14642 Once the information had been received and reviewed, we will call you with an appointment. Thanks and we look forward to working with you and your child. If you have any questions, please feel free to call the clinic at 585-275-2986.