Center for Healing Trauma & Attachment, Inc.

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Forms

Allie Hauck Disclosure Statement

Andrea Shindle Disclosure Statement

Cassandra Williams Disclosure Statement

Doreen Hills Disclosure Statement

Jennifer Barker Santopietro Disclosure Statement

Jesseca Manson Disclosure Statement

Adolescent Intake Form

Child Intake Form

Child Play Therapy Agreement

EMDR Informed Consent 

Mandatory Disclosure Statement

Music Therapy Family Intake Form

Music Therapy Individual Intake Form

Notice of Privacy Rights

Receipt of Notice of Privacy Rights

CHTA Family Group Music Therapy Intake Form

CHTA Individual Music Therapy Intake Form