Thursday, Feb 09, 2012

Forms

This page contains forms that are required for Admission to WINGS.  If you will not be accompanying your child on Admission day, please contact our office at 320-593-0440 to have the Admission forms sent to you, or you can print them from the list below. This list is only a partial list of forms, but are the most important ones needed for Admission.

A physical is needed for admission to WINGS, it is preferred that your child obtain one prior to admission.  Please print out the Physical and Mantoux/Free of Communicable Disease forms from the list below and provide it to you health care provider at the time of the physical.  If you cannot obtain a physical prior to admission, our staff will schedule a physical for your child at Affiliated Medical Center in Litchfield. The cost of the physical is your responsibility.

 The following are in PDF format for downloading and can be viewed, printed and or faxed to WINGS. 

Our Brochure

Information for Rule 25 assessors, Social Workers, Probation Officers and other placing agencies

What to bring to Admission at WINGS

Parent information sheet

If possible, please print out and complete the following forms prior to admission

Client Information Sheet

Consent To Treat Minor Children

Release of Protected Information (you will need one for each person/agency that we will need to exchange information with)

Collateral Information

For your medical provider to complete prior to coming to WINGS.

Mantoux / Free of Communicable Disease

Physical Form

Our Fax number is 320-593-0442. Our phone number is 320-593-0440 if you would like to Contact Us with questions regarding our forms or would like to learn more about WINGS.

 

 

 

Testimonials:

"I like how WINGS incorporated treatment with everyday life - makes you realize you can have sober fun!" "The counselors here are great!" "This place is going to play a huge part in my life changing for the better. I would not have wanted to go anywhere else."