Below are forms and paperwork commonly used by Youth Dynamics. These forms may be downloaded and used by family members, guardians, and professionals.

If you have any questions, please contact the office nearest you for more information. Our staff are happy to assist you!

Intake/Application Packet

• Application for Youth Dynamics Services (Residential or Community)
• Authorization to Receive-Release Information (PDF)
• Consent Form (PDF)
• Financial Information (PDF)
• HIPAA Notice-Receipt of Privacy Practices and Confidential Channel Request
• Youth Dynamics-Client Partnership Agreement (PDF)

Other Documentation

For youth needing therapeutic foster care or therapeutic group home services, families and/or guardians may need to provide additional documents. Trained Youth Dynamics can assist you get started! Some items may need include:

• Social Security Card
• Birth Certificate

For youth, you may also need:

• Adoption papers
• Proof of Guardianship
• Tribal Enrollment
• Parole and Probation Information
• Court Information — Custody/ Divorce/ Adoption Record/ CFS

Additional Forms Available Online:

• High Risk Activity Form (PDF)