Therapy Forms
Greensboro Dance & Drama Therapy
FORMS to complete prior to first session
AWdisclosurestatement-consent to treat 1[...]
Microsoft Word document [47.5 KB]
AW Disclosure Statement _Spanish_.pdf
Adobe Acrobat document [27.9 KB]
Adobe Acrobat document [8.8 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
What they are and what is needed to keep them.
creditials explained.pdf
Adobe Acrobat document [11.5 KB]
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
Make a payment for therapy services
Make a payment for supervision services
Payment of supervision services with a credit card have a
convenience fee 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 convenience fee 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.
Want to learn how to reconnect to your child? Want to have more play in your life and with your family. I can help! I specialize in helping parents learn how to positively shape their children's behaviors through the use of play.
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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