Downloadable Forms

Downloadable Forms

Here you will find various forms used at the center.

HIPAA Privacy Policy

HIPAA Notice of Privacy Practices (231 downloads)

Intake Packets

Adult Intake Packet (37 downloads) Child Intake Packet (11 downloads)

Payment Form

Card on File Form (210 downloads)


Detailed Release of Information (210 downloads) In-School & In-Daycare Release (200 downloads) School Check-Out Release (190 downloads)

Supervised Visitation Documents

Supervised Visits Guidelines & Policies (151 downloads) Supervised Visitation Orientation Packet (178 downloads)

Yearly Renewal Packets

Adult Yearly Renewal Packet (13 downloads) Child Yearly Renewal Packet (4 downloads)