Uninsured Students

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

Amharic, Arabic, English, Pashto, Spanish, Urdu, Vietnamese

• • • Direct the family to www.childrens.com/telebehavioral or print off packet below

    • Click the “Enroll Now” button in either English or Spanish

    • Click on the following purple buttons to complete both packages:

      • • School Referral Package (Consent for Initial Consent, Demographics form, and Release of Information)/Formularios para el consejero escolar (Consentimiento para evaluación inicial, Información socioeconómica, y Divulgación de la información)

        • AND

        • Treatment Package (General Consents and Consents for Psychological Services)/Consentimientos para el tratamiento (Consentimientos generales de atención ambulatoria y Consentimientos para atención psicológica)

    • Once you click the appropriate button the forms will open, and the family can fill them out and sign them electronically

    • Our team will receive the forms once submitted and a referral will be initiated

    • Notify your assigned BH CM of the referral with the patient’s name