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Forms

Please download the appropriate form (word document), supply the necessary information and return via email or regular mail to: 7013 Fahley Rd. Oshkosh, WI 54904

Registration form for Summer adolescent group

Parent or Guardian Referral Form for Group Sessions

Social Worker/Therapist Referral Form for Group Sessions

Release of Liability and Informed Consent

Authorization for Emergency Medical Treatment

Sliding fee scale for services

 

 

 

cindy@freedom-reins.com

920-850-3421

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