All Program Participants are asked to return all of the applicable forms (below) to “Attention: HUGS” via fax at 239-330-7163.
CONSENT FORMS – REQUIRED
From 3 months to 6 years-ASQ-SE2 Consent Form English
From 6 years – 18 years–SDQ HUGS Consent Form English
ASQ Social & Emotional Screening for children 3 Months to 6 years- (*THESE WILL COME DIRECTLY TO HUGS FROM THE BELOW LINK) Please click here
SDQ (Strengths & Difficulties) Questionnaire for children 6 to 18 years. (THESE WILL NOT BE AUTOMATICALLY DELIVERED TO HUGS AND MUST BE PRINTED AND SENT TO HUGS or CALL TO REQUEST THE FORMS) Please click here
Release form (for release of information) This may be completed for a Doctor or other service provider but IS NOT MANDATORY. Authorization to Release Information