AIMS Client Intake Information
Child Consent to Treatment Form
Family Service & Guidance Center Disclosure Instructions
Use & Disclosure Form
In addition to the forms listed above, you will need to bring:
Completed Child Behavior Checklist (CBCL). We are unable to house this form on the website, but you should have copies in your office.
Previous Treatment Information – Reports from previous providers are always helpful.
Copy of the insured's insurance card.
Medication bottles
We look forward to serving your needs. Feel free to contact our intake office if you have questions. (785) 232-5005
If you experience difficulties opening any forms, please contact our intake office. We will be happy to e-mail or fax a copy of the forms.
Family Service & Guidance Center Privacy Practices
