About

Downloadable Forms

Here you will find various forms used at the center.

HIPAA Privacy Policy

HIPAA Notice of Privacy Practices (369 downloads)

Intake Packets

  • These are set up to be printed as 2-sided documents in order to save paper & ink.
Adult Intake Packet (148 downloads) Child Intake Packet (200 downloads)

Payment Form

Card on File Form (351 downloads)

Releases

Detailed Release of Information (342 downloads) In-School & In-Daycare Release (328 downloads) School Check-Out Release (329 downloads)

Supervised Visitation Documents

Supervised Visits Guidelines & Policies (316 downloads) Supervised Visitation Orientation Packet (328 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 (139 downloads) Child Yearly Renewal Packet (104 downloads)