Admitting a child to a Day Treatment IOP is a big decision for parents and guardians. We know that you may be feeling exhausted and alone on every level. Our compassionate staff is here to help by making admissions as easy as possible.
To get started, it is essential for our staff to gather thorough clinical information about your child or teen to determine if she/he fits our program. Please follow the steps below to complete and submit the appropriate forms before scheduling your child’s diagnostic assessment appointment.
Click below for the forms based on your child’s age range.
ATTENTION – anchor tag, do not delete
The New Patient Registration and Parent Portions DA forms can be filled out, saved, and viewed on a PC or Mac. For the best results with typing and saving your information, please use Adobe Acrobat Reader DC. You can download a free version here.
If you experience trouble using the form electronically, please print the form to complete it.. Forms should not be completed or saved and viewed using an iPad or iPhone device.
For the SDQ form, please print the form to complete it.
All three completed forms are needed to determine if your child or teen fits our program. Forms can be submitted via:
Once we receive all three of your completed forms, we will review the forms and contact you to schedule a Diagnostic Assessment Appointment.
This meeting allows us to know more about your situation and for you to learn more about our Intensive Outpatient Program. Both the child and parents should attend. After the session we will contact you with a decision if the child/adolescent is approved for our program or if we would recommend another course of treatment in the mental health treatment spectrum. If not approved, we’ll provide alternative resources, if possible.
See our Care Levels diagram for more information on the mental health treatment spectrum.
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