Client Forms

Click on the links below to download and print out PDF forms for your first visit.
• Service Agreement• Informed Consent Form• Authorization for the Exchange of Medical/School/Psych Records• Private Initial Screening Form• Consent for Behavioral Assessment Form

To make a referral, contact Member Services at

Contact Us

BCS is now offering services across Arizona
To make a referral, contact Member Services at
memberservices@ichd.net or
(800) 771-9889
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