Initial Paperwork

DemographicsHealth HistoryPHQ-9GAD-7Adverse Childhood Experiences (ACES) QuestionnairePCL-5CATS

Child Paperwork

Vanderbilt Assessment Scale – ParentVanderbilt Assessment Scale – Teacher

Services

Advance Directives Ohio FormConsumer Information PacketConsent for Treatment, Payment, & Healthcare OperationsInterested in ServicesUpload DocumentSliding Fee Application

AoD Paperwork

AUDITTAPTAP 2

All persons setting a child up for therapy will be asked if they have the legal authorization to do so and the right to sign all necessary documents for that child’s treatment.  The guardian / parent must attend the intake appointment with the child and will be asked to bring any court papers giving them the right to authorize treatment.