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    • Home
    • Founder's Story
    • Services
    • Foster Parents
    • Independent Living
    • Documentation
    • Our Staff
  • Home
  • Founder's Story
  • Services
  • Foster Parents
  • Independent Living
  • Documentation
  • Our Staff

Intake Packet for Clients

Client Intake Information Request (doc)Download
Client Information (doc)Download
Client Assessment-Social Summary (doc)Download
Consent For Medical, Therapeutic, Phychiatric Treatment (doc)Download
Intake Consents (doc)Download
Consent For Release of Confidential Client Info (doc)Download
EYFS HIPAA NOTICE OF PRIVACY PRACTICES (doc)Download

Links

Updated State Forms

Microsoft Office 365

Employee Extended Reach

EYFS Fax

PO Box 2877 Snowflake AZ, 85937 

Phone: 928/457-0259 

Fax: 928/457-0272 ​ 

    www.eagledancer.net