| Please download, print and fill out (when applicable) every form included in this list prior to your enrollment appointment. A staff member will review, and you may be asked to edit a form that requires correction. If you would prefer to fill out online, please follow this link https://www.childandfamilyagency.org/forms/forms-individual/billable-intake-forms/. |
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| Statement of Custody, Application for Services and Service Agreement |
| Grievance Procedure |
| Attendance Policies |
| Client Rights and Responsibilities |
| Notice of Privacy Practices |
| Release of Health Information and Assignment of Benefits |
| Financial Agreement |
| Consent and Notice Regarding Electronic Signatures |
| Consent to Telehealth and Electronic Communication Agreement |
| Authorization for Health Information Exchange |