CLICK HERE TO FILL OUT OUR ONLINE FORM FOR TELEMEDICINE
Please complete and return to:
The Chatter Box
6317 Hwy 329
Crestwood, KY 40014
(502) 384-0908 Fax

Parent
Interview

Last Updated September 2020

Download PDF

Patient Care
Policies

Updated August 2017

Download PDF

Consent to
Treat

Updated September 2020

Download PDF

Private Pay
Policies

Updated September 2020

Download PDF

New Client
Payment Info

Updated August 2019

Download PDF

Notice of
Privacy Practices

Updated September 2020

Download PDF