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Social Bridges Forms

The following forms should be printed and forwarded to the office if your child is a new participant:  New Families Registration Form, Financial Agreement, Policies & Procedures Signature Page, Consent for Mutual Exchange of Information, HIPPA Signature Page, Teacher Observation Checklist, Informed Consent Form

The following forms should be printed and forwarded to the office if your child is continuing with us:  Continuing Families Registration Form, Financial Agreement, Consent for Mutual Exchange of Information (if you have updated information), Teacher Observation Checklist (if your child has a new teacher at school)

Social Bridges Brochure

New Families Registration Form

Continuing Families Registration Form

Financial Agreement

(The financial agreement must be completed, signed and returned to the office for each family at the beginning of each session, regardless of method of payment)

Client Policies & Procedures

Client Policies & Procedures- Signature Page

(please print and sign the signature page only after reviewing the Client Policies & Procedures)

Teacher Observation Checklist

Notice of Privacy-HIPPA

Notice of Privacy- HIPPA Signature Page

(please print and sign the signature page only after reviewing the Notice of Privacy-HIPPA)

Informed Consent Form

Fee Scale for Supplemental Services