All forms need to be filled out in order to be placed in the program

  • About My Child [.pdf]
  • Initial Interview Letter [.pdf]
  • Initial Interview Data Form [.pdf]
  • Parental Agreement [.pdf]
  • Notice Of Privacy [.pdf]

  • Credit Card authorization sheet [.pdf] OR EBanking authorization sheet [.pdf]
  • Authorization for release of information [.pdf]
  • Telehealth Consent [.pdf]
  • Covid Waiver [.pdf]

The Academy is a child and adolescent centered agency offering a social skills group program, individual counseling, and school-based services.