Child & Family Clinic

The Child and Family Clinic specializes in a rapid intake process, a wide array of evidence-based treatment approaches, and bi-lingual Spanish Therapy and Psychiatry for children and adults. Case Management services are also available to assist with insurance, scheduling and advocacy issues.

Clinic Forms

  1. Application for Services (PDF)
  2. Family History (PDF)
  3. Release of Health Information (PDF)
  4. PSYCKES Consent (PDF)
  5. Health Insurance Claim (PDF)
  6. Notice of Privacy Practice (PDF)
  7. Partnership Agreement (PDF)
  8. Financial Statement (PDF)
  9. Financial Intake (PDF)

Clinic Forms en Espanol

  1. Client Financial Statement en Espanol (PDF)
  2. General Application en Espanol (PDF)
  3. Partnership Agreement en Espanol (PDF)