Forms

All forms must be filled out in their entirety and dropped off to 12321 Tierra Humeda, faxed to 915-262-0994, or scanned and emailed to [email protected]. Please notify me as soon as this is done to allow me to ensure it was delivered and received.

NEW ADULT. YOU WILL NEED ONE PACKET

NEW CHILD.YOU WILL NEED ONE PACKET PER CHILD. IF DIVORCED PLEASE INCLUDE COPY OF DIVORCE DECREE PERTAINING TO CUSTODY AND MEDICAL DECISIONS. IF ANY OTHER PERSON WILL BE BRINGING OR PICKING UP THE CHILD OR ATTENDING, THEY WILL NEED AN ATTACHED RELEASED OF INFORMATION FORM PROVIDED BELOW.

NEW FAMILY. YOU WILL NEED ONE PACKET FOR EACH PERSON

NEW COUPLES. YOU WILL NEED ONE PACKET FOR EACH PERSON

HIPAA.

PRIVACY PRACTICES.

RELEASE OF INFORMATION FOR CHILDREN TO BE BROUGHT OR PICKED UP BY ANYONE OTHER THAN THE BIOLOGICAL PARENTS.

CENTERSTONE FORM NECESSARY IF THAT IS YOUR REFERRAL SOURCE.