Permission forms are provided to help make the intake process quicker as well as to allow parents the ability to read the forms prior to intake in case any questions arise.  We have recently updated all of our intake materials to make them universal between Menomonie and in River Falls.

Parent Permission Forms

For your convenience, we have bundled all of our intake permission forms (.pdf form) into one .zip file:

 Intake Forms (pdf)

You can also access each form individually:

Intake Form 2012 (pdf)

Intake Consents 2012 (pdf) / Intake Consents 2012 (doc)

Medical Services Consent 2012 (pdf)

Nonmedical Consents 2012 (pdf)

Release of information 2012 (pdf) / Release of information 2012 (doc)

 Situational forms:

Voluntary Placement Agreement (pdf) / Voluntary Placement Agreement (doc)

 

For more information, please contact one of our group home program coordinators: Jeremy Hernandez in Menomonie or Kelli Kamholz in River Falls.