Client intake forms.

These three forms are required for us to work with you as your independent facilitators. We'll have you complete them after your consultation — you can fill them out securely online, or download any of them as a PDF. Work through them at your own pace; we respond within 1-3 business days.

All three forms are required for us to work with you as your independent facilitators.

3 forms to complete

  1. Client Intake Form

    Tell us about your family and your child so we can prepare before our first conversation.

  2. Release of Information

    Authorizes us to coordinate with your Regional Center and providers on your behalf.

  3. Service Contract

    Our agreement outlining the Independent Facilitation services we provide.

Have a question about a form?

We're happy to help you get everything filled out. Send us a message and we'll be in touch within 1-3 business days.