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Child Intake Forms (0-12)

For children under the age of 13, parents/guardians should sign and complete these forms. You can still include the child’s voice in the intake if appropriate.

Client information

Date of birth
Month
Day
Year

  • Please  Note : For additional intake items (such s assessments , releases, and scoring ), a downloadable packet is available below .Please complete and submit  electronically as instructed 

  • Please  Note : For additional intake items (such s assessments , releases, and scoring ), a downloadable packet is available below .Please complete and bring electronically as instructed 

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