The KU Child and Family Services Clinic has moved many of its assessment and intake forms to a secure online format. The link below is for those who have completed a phone screen with a clinic associate, or are current clients in the KU Child and Family Services Clinic. Please visit the link below to complete the forms indicated by our clinic associate.
If you have questions about which forms to complete, please call the Clinic and ask to speak to the associate who completed your phone screen. She or he will be happy to help you.
The following PDFs are provided for your records only. All forms should be completed online through the link above.
- Notice of Privacy Practices [PDF]
- Notice of Privacy Practices Signature Page [PDF]
- Fee Policy (rev. 2018) [PDF]
- Consent for Assessment and Treatment (Child Client) [PDF]
- Consent for Assessment (Adult Client) [PDF]
- Consent for Telehealth Services [PDF]
- Consent for In-Person Services during COVID [PDF]
- Consent for Research Participation [PDF]
- Parking Policy/Consent Form [PDF]
- Release of Information [PDF]
- Parent Intake Questionnaire [PDF]
- CEMS Parent Report [PDF]
- Disruptive Behavior Disorders Scale [PDF]
- Proactive and Reactive Aggression Questionnaire [PDF]
- RCADS-47 [PDF]