Forms can be filled out, saved and viewed on a PC or Mac. For best results with typing and saving your information, please use Adobe Acrobat Reader DC. You can download a free version from acrobat.adobe.com.
When completing electronically, you must save a copy of the form to your computer using a different filename before filling out and submitting.
We recommend you print a copy of the form before submitting it for your records and to ensure no information is lost in the saving process. If you experience trouble using the form electronically, please print the form and mail, fax or drop it off at our office. Forms should not be completed or saved and viewed using an iPad or iPhone device.
1 in 5 children ages 13-18 in the U.S. need mental health services; only 20% are likely to receive professional help
Source: National Institute of Mental Health