Here you will find HIPAA-compliant forms to support treatment and learn more information about Winston Center privacy practices. Forms are submitted securely and confidentially to protect sensitive information.
Forms for Clients and Families
- Appointment Request Form
- Upload Documents Form – Provides us with additional information to enhance or hone treatment.
- Release of Information for your/ your child’s healthcare provider
- Release of Information for your child’s school
Forms for Teachers
- Teacher Follow-Up Questionnaire – Offers additional information to monitor student behavior. You do not need to complete all fields, only those you feel are pertinent.