{"id":33,"date":"2021-11-19T18:41:35","date_gmt":"2021-11-19T18:41:35","guid":{"rendered":"https:\/\/afccenter.org\/?page_id=33"},"modified":"2022-06-24T17:43:23","modified_gmt":"2022-06-24T17:43:23","slug":"intake-forms","status":"publish","type":"page","link":"https:\/\/afccenter.org\/index.php\/intake-forms\/","title":{"rendered":"Intake Forms"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"alignleft size-medium wp-image-141\" src=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/Lighthouse-300x224.jpg\" alt=\"\" width=\"300\" height=\"224\" srcset=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/Lighthouse-300x224.jpg 300w, https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/Lighthouse.jpg 336w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>The Intake Packet forms, previously only mailed to new clients, are now available on this website for you to download to print out and complete by hand, and then send them to the AFCCenter practice by email, fax, or via the US Postal Service.<\/p>\n<p>Click on each form below to open and download it:<\/p>\n<ul>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Welcome-2020.pdf\" target=\"_blank\" rel=\"noopener\">A Welcome letter from our Director, Herbert Jay Rosenfield, LCSW<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Goals-Of-Therapy-2020.pdf\" target=\"_blank\" rel=\"noopener\">The frequent \u201cGoals of Therapy\u201d<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Directions-2-Cheshire-2020.pdf\" target=\"_blank\" rel=\"noopener\">Directions to the Cheshire office<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Clients-Rights-Matrix-2020.pdf\" target=\"_blank\" rel=\"noopener\">Clients\u2019 Rights and Responsibilities<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-HIPAA-ClientForms-2020.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA Policies and Agreement Form<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Client-Information-Form-2020.pdf\" target=\"_blank\" rel=\"noopener\">Client Information Form<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2021\/11\/AFCC-Telehealth-informed-consent-2020.pdf\" target=\"_blank\" rel=\"noopener\">Acceptance of Telehealth Services<\/a><\/li>\n<li><a href=\"https:\/\/afccenter.org\/wp-content\/uploads\/2022\/06\/AFCC-Financial-Practices-2022.pdf\" target=\"_blank\" rel=\"noopener\">Our Relationship and Our Financial Practices<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>To send forms to the <strong>Cheshire office<\/strong> of The<br \/>\nADOLESCENT &amp; FAMILY COUNSELING CENTER:<\/p>\n<p>The Republic Building<br \/>\n350 South Main Street Cheshire, CT 06410<br \/>\nPhone: (203) 271-1234<br \/>\nFax: (203) 272-9094<\/p>\n<p><a href=\"mailto:Office@AFCCenter.Org\" target=\"_blank\" rel=\"noopener\">Office@AFCCenter.Org<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>To send forms to the<strong> Danbury office<\/strong> of The<br \/>\nADOLESCENT &amp; FAMILY COUNSELING CENTER:<\/p>\n<p>72 North Street \u2013 Suite 205,<br \/>\nDanbury, CT 06810<br \/>\nPhone: (203) 790-1234<br \/>\nFax: (203) 743-1110<\/p>\n<p><a href=\"mailto:Info@AFCCenter.Org\" target=\"_blank\" rel=\"noopener\">Info@AFCCenter.Org<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The Intake Packet forms, previously only mailed to new clients, are now available on this website for you to download to print out and complete &hellip; <\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_regular_price":[],"currency_symbol":[]},"post_slider_layout_featured_media_urls":{"thumbnail":"","post_slider_layout_landscape_large":"","post_slider_layout_portrait_large":"","post_slider_layout_square_large":"","post_slider_layout_landscape":"","post_slider_layout_portrait":"","post_slider_layout_square":"","full":""},"_links":{"self":[{"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/pages\/33"}],"collection":[{"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/comments?post=33"}],"version-history":[{"count":8,"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/pages\/33\/revisions"}],"predecessor-version":[{"id":408,"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/pages\/33\/revisions\/408"}],"wp:attachment":[{"href":"https:\/\/afccenter.org\/index.php\/wp-json\/wp\/v2\/media?parent=33"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}