Outpatient Forms for Great Lakes Center for Autism Treatment and Research

For your convenience, below you can find forms related to the services we have available at the Great Lakes Center for Autism Treatment and Research.

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(26 documents)

Intake Packet
Welcome Letter
GLC Mission-Vision-Core Values
Location and Hours of Operation
School Year Calendar 2018-2019
What is ABA?
Types of Services Available at GLC
Arrival and Departure
Arrival and Departure
Session Cancellations and No-Show Appointments
Severe Weather Procedures
For All Sessions at the Center
Client Sick Procedures
Medication Administration Procedures
Medication Administration Procedures
ROI Use of Sun Protection
Patients Rights and Responsibilities
Recipient Rights Notification Form
Confidential Medical Information
Consent for Treatment Form
HIPAA Privacy Practices Notices and Acknowledgement Form
Authorization for Release of Information
Authorization for Drop Off and Pickup and Permission to Observe
Photo and Video Release Form
Financial Policy
ROI Use of Person Restraint in Emergency Situations
Restraint Policies Acknowledgement of Receipt
GLC Financial Assistance Application

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