Forms

Please use the links below to download any necessary forms. Forms can be filled out electronically and emailed to forms@childrenshomesociety.com or filled out manually and brought to WSCC at time of appointment.

Important note: If submitting forms via email, first right click on the form link, and save it. Once form is filled out entirely, save changes, and attach it to an email.

• Child Intake Packet
• Adult Intake Packet
• Autism Diagnostic Intake Packet
• Authorization for Release of Protected Health Information
• Employment Application
• Healthy Connections Referral Form
• Standard Referral Form
• Subsidy Program Application Form
• Symptom Checklist
• No-Show Policy Letter