Please complete the following forms prior to admittance into the Day Program at Crossroads Services, Inc. Once forms are completed, authorization may become official.
- Bill of Rights for Individuals
- Confidentiality Notice
- Consent to Release of Information
- Current Medication List
- Day Program Visitors Guide
- Electronic Device Policy
- Emergency Contact Information
- Enrollment Agreement
- Grievance Policy for Individuals
- Individual Discharge Policy
- Lifetime Medical History
- Limited English Proficiency
- Non-Discrimination in Services
- Participant Dress Code
- Participant Smoking Policy
- Photo Release Form
- Physical Form
- Registration Form
- Senior Intake Form
- Snow Day Policy
- Sunscreen Permission Form