Challenged Child and Friends
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Intervention Program Enrollment Packet

Below you will find forms needed for enrollment in the Intervention Program
  • Registration Form
  • Getting to Know You
  • Parental Agreement
  • Permission for Screening
  • CCI Health Intake
  • Emergency Authorization and Contacts
  • Financial Assistance Application 2011-2012
  • Authorization for Photographs and Records
  • Income Verification Form
  • HIPAA Form

Admissions

  • Admissions Policy
  • Intake Procedure
  • Intervention Program Enrollment Packet
  • Outpatient Therapy Enrollment Packet
  • Program Options
  • Handbook
  • Financial Information
  • Scholarships
  • Schedule a Tour
Upcoming Events
February 24, 2012
Love from Challenged Child & Friends
March 4, 2012
Challenged Child & Friends 5K/ 1 Mile Fun Run
See our calendar!See our calendar!
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Our United Way Friends:
United Way of Hall County
United Way for Lumpkin County
United Way of Forsyth County
United Way for Dawson County
United Way of White County
United Way of Habersham County
United Way SACS CASI Georgia Center for Nonprofits
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