Case History Credit Card Form Authorization for Emergencies Release of Information http://www.carruthcenter.org/pdf/Forms/CeditCardForm.pdfhttp://www.carruthcenter.org/pdf/Forms/Emergencies.pdfhttp://www.carruthcenter.org/pdf/Forms/ReleaseofInfo.pdfshapeimage_2_link_0shapeimage_2_link_1shapeimage_2_link_2
 
 
If you are a person who likes to plan ahead, this is the page for you. Download forms so that you can have them filled out prior to your visit.
Forms
 Speech Services Psychological Services http://www.carruthcenter.org/pdf/fees.pdfhttp://www.carruthcenter.org/pdf/Feespsych.pdfshapeimage_3_link_0shapeimage_3_link_1
 
 
 
Consent for Treatment: specific to service or clinician
Payment Contract:  specific to service or clinician
Financial Designation: if requesting/utilizing a third party to assist with payments (i.e. Grandparents or other relatives)
Families will be mailed, emailed or faxed the following forms to complete prior to the first appointment: