Client Forms

Our intake packets and other forms are now available online. You can now sign forms without having to print them out. Once you sign them, they will be delivered to the Front Office Manager and placed in you or your child's file.

All forms are private and confidential.


Filling Out a Medical Form
 

Child Intake Packet

Child Intake Questionnaire

 

School Consent for Release of Information

PCP Consent for Release of Information

 

Adult Intake Packet

Adult Intake Questionnaire

 

Out-Patient Therapy Treatment Plan and Treatment Plan Update Signature Page

CCSS Treatment Plan and Treatment Plan Signature Page

 

Consent for Release of Information

CCSS Orientation and Agreement

 

Family Support Services Intake Packet

Family Support Services Service Plan and Service Plan Update Signature Form

 

CCSS Discharge Summary Signature Page

Peer Support Discharge Signature Page