About

Downloadable Forms

Here you will find various forms used at the center.

HIPAA Privacy Policy

HIPAA Notice of Privacy Practices (281 downloads)

Intake Packets

  • These are set up to be printed as 2-sided documents in order to save paper & ink.
Adult Intake Packet (21 downloads) Child Intake Packet (32 downloads)

Payment Form

Card on File Form (264 downloads)

Releases

Detailed Release of Information (263 downloads) In-School & In-Daycare Release (253 downloads) School Check-Out Release (244 downloads)

Supervised Visitation Documents

Supervised Visits Guidelines & Policies (223 downloads) Supervised Visitation Orientation Packet (241 downloads)

Yearly Renewal Packets

  • These are also set up to be printed as 2-sided documents in order to save paper & ink.
Adult Yearly Renewal Packet (62 downloads) Child Yearly Renewal Packet (17 downloads)