Please complete and return to:
The Chatter Box
6317 Hwy 329
Crestwood, KY 40014
(502) 384-0908 Fax

Parent
Interview

Last Updated August 2017

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Patient Care
Policies

Updated August 2017

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Consent to
Treat

Updated August 2017

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Private Pay
Policies

Updated February 2019

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New Client
Payment Info

Updated April 2019

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Notice of
Privacy Practices

Updated August 2017

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