Releases & Sign Offs

Photo Release Form

Photo release form for children under 18 years of age.

Online Download

Policies Sign Off Form

Developmental & Holistic approach to treating children with disabilities.

Client Information Release

Authorization for use of disclosure of protected health & confidential information.

Credit Card Authorization Form

Credit card authorization form. Please read all sections. If you have any questions, please ask before signing.

Field Trip Waiver

Insurance Policy Benefits Determination Form

Agreement to Utilize Insurance Form