Therapy Forms
Greensboro Dance & Drama Therapy
FORMS to complete prior to first session
AWdisclosurestatement-consent to treat 1[...]
Adobe Acrobat document [14.3 KB]
AW Disclosure Statement _Spanish_.pdf
Adobe Acrobat document [27.9 KB]
CHECKLIST FOR CHILDREN UNDER 5.doc
Microsoft Word document [33.5 KB]
ChecklistforChildrenunder528Spanish29-1.[...]
Microsoft Word document [23.1 KB]
teen-child+intake+form+completed+by+pare[...]
Microsoft Word document [71.5 KB]
child-Teen INTAKE FORM to be completed b[...]
Microsoft Word document [35.0 KB]
Information Forms for Personal Use
Consent for Release of Confidential Info[...]
Adobe Acrobat document [78.7 KB]
Consent for Release of Confidential Info[...]
Adobe Acrobat document [80.2 KB]
Parrents commonly asked questions.pdf
Adobe Acrobat document [6.9 KB]
How should I prepaire my child therapy-w[...]
Adobe Acrobat document [17.1 KB]
What to Tell Children About a Parent eth[...]
Adobe Acrobat document [7.0 KB]
Why+should+I+choose+dance+or+drama+thera[...]
Adobe Acrobat document [6.3 KB]
Make a Credit Card Payment with PayPal
Sorry on line bill pay is not available on mobile devices at this time.
Please contact Angela directly or logon with a desktop to make a payment
Make a payment for therapy services
Make a payment for supervision services
Payment of supervision services with a credit card have a surcharge added.
If you wish to avoid this surcharge send a check to:
5603 B West Friendly Ave #103
Greensboro, North Carolina 27410
Rates minus the surcharge are as follows:
Individual $100/hour, Tridatic $50/hour
Group (for 2 hours) split by three people $100, by four people $75, by five people $60
Learn how to communicate what is too deep, too fine for words.
Few things are more frustrating and disheartening than watching your child suffer through a mental health ailment or watching them try to overcome an addiction. Likewise undergoing these challenges yourself is also debilitating. When these unenviable circumstances occur, it’s important to get help.
Things can get better!
Call Angela.
Email:
Angela@dance-drama-therapy.com
Phone: (336) 698-6723
Mailing address:
5603 B West Friendly Ave Suite 103 Greensboro, NC 27410.
Office Hours:
By Appointment Only.
Delays and Closings follow the Guilford Co. School System.
2 hr delay = open at 10 AM.
Most urgent appointments can be accommodated within 48 hrs.
All emergencies call
911 or National Suicide Prevention Hotline at 800 273-8255.
Use our contact form to inquire about any questions,
comments, or concerns or if you wish to be added to our mailing list. We will respond to you as soon as we can!
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