Downloadable Forms

Downloadable Forms

Here you will find various forms used at the center.

HIPAA Privacy Policy

HIPAA Notice of Privacy Practices (145 downloads)

Intake Packets

Adult Intake Packet (45 downloads) Child Intake Packet (55 downloads)

Payment Form

Card on File Form (133 downloads)


Detailed Release of Information (141 downloads) In-School & In-Daycare Release (128 downloads) School Check-Out Release (119 downloads)

Supervised Visitation Documents

Supervised Visits Guidelines & Policies (62 downloads) Supervised Visitation Orientation Packet (100 downloads)

Yearly Renewal Packets

Adult Yearly Renewal Packet (30 downloads) Child Yearly Renewal Packet (28 downloads)