Forms

The fol­low­ing are fre­quent­ly need­ed forms for KYC clients and fam­i­lies. If a form you need is not pro­vid­ed here, please con­tact your ther­a­pist or case worker.

Client Rights and Respon­si­bil­i­ties
Dere­chos y Respon­s­abil­i­dades del Cliente

Notice of Pri­va­cy Prac­tices
Avi­so de Prác­ti­cas de Privacidad

Health Assessment/​Medical History

Writ­ten Instruc­tions for Release of Infor­ma­tion & Records Request

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10%
of chil­dren in the U.S. strug­gle with seri­ous chal­lenges to their emo­tion­al and men­tal health.

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Believe you can and you’re hall­way there.

—Theodore Roosevelt

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