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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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(30 documents)

Permission for Electronic Transmission (Internet and Text) of Information
Family Notification Form (Email Request)
Permission to Transport
Restraint and Seclusion Policies and Procedures
Release of Photographs, Audio, and Video Imagery
Authorization for Release of Information - Natural Environment
Intake Packet
Table of Contents- Parent Handbook
Welcome Letter
Severe Weather Procedures
What is ABA?
Types of Services Available at GLC
ROI Use of Sun Protection
For All Sessions at the Center
Session Cancellations and No-Show Appointments
School Year Calendar 2021-2022
Recipient Rights Notification Form
Patient Rights and Responsibilities
Medication Administration Procedures
Location and Hours of Operation
HIPAA (what you should know about the protection of your privacy)
A link to GLC Mission-Vision-Core Values
GLC Mission-Vision-Core Values
A link to GLC Financial Assistance Application
GLC Financial Assistance Application
Financial Policy
Consent for Treatment Form
Confidential Medical Information
Client Sick Procedures
Authorization for Release of Information
Authorization for Drop Off and Pickup and Permission to Observe
Arrival and Departure

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(269) 250-8200

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