Online Forms

Service Plan Consent Form

This form highlights that our services will never cost you a dime. It also states that you are completely in control. You are choosing to work with us, and you can stop or change your mind at any time without any penalties.

Sign Consent Form

Release of Information

This form grants your case manager and our services permission to obtain your health information and explains how your health information will be used and disclosed.

Sign Release of Information

HIPPA

Under HIPAA federal guidelines, the practice keeps all client Protected Health Information (PHI) strictly private and secure

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Practice Policies

This document details the operational policies of the practice and explains how client medical information is utilized

Read Article

Case Closure

This form authorizes a case closure either due to the case manager's request, needs being met, or an eligibility status change.

Sign Case Closue

Case Transfer

This form authorizes a case transfer from our program to another, either due to relocation or a request from you.

Sign Case Transfer

Secure Document Upload

Please upload your documentation here. This area is secure and helps us speed up your path to stability.