SCREENING

*required for pre-registration for all new clients

OUR PROGRAMS ARE DESIGNED FOR CHILDREN WITH AND WITHOUT SPECIAL NEEDS AND TAKE VERY SPECIAL CARE IN PLACING CHILDREN IN PROGRAMS WITH PEERS AND PROVIDERS THEY WILL BENEFIT FROM. THE HONEST INFORMATION YOU PROVIDE WILL HELP US TO EMPOWER YOUR CHILD.

PLEASE COMPLETE THE INFORMATION BELOW AND SUBMIT SO THAT WE CAN HELP DETERMINE WHAT LEVEL INTAKE WE SHOULD RECOMMEND.

Please note: We CANNOT place children who aggress toward other children in a group with peers. We do work with children who demonstrate emotional regulation difficulties. If we feel your child may aggress in a group, we may recommend beginning our work them in a 1:1 service delivery model focused on reducing aggressive behaviors and replacing them with functional and appropriate social behaviors before moving them into a group.

phone: 508-603-1711
fax: 508-603-1712

Address:
2 Maple Avenue
Upton, MA 01568

112 Main Street
Upton, MA 01568

*MAILING ADDRESS:
P.O. Box 400 Upton, MA 01568

"the Whole Child matters"

payment_policy_4.2019.pdf
File Size:	58 kb
File Type:	pdf

Initial Screening Form

INITIAL SCREENING FORM

Incorporated October, 2016
The Whole Child, Inc. is a non-profit corporation and shall operate exclusively for educational and charitable purposes within the meaning of Section 501 (c)(3) of the Internal Revenue Code, or the corresponding section of any future Federal tax code.

Initial Screening Form

INITIAL SCREENING FORM

​Incorporated October, 2016The Whole Child, Inc. is a non-profit corporation and shall operate exclusively for educational and charitable purposes within the meaning of Section 501 (c)(3) of the Internal Revenue Code, or the corresponding section of any future Federal tax code.

Incorporated October, 2016
The Whole Child, Inc. is a non-profit corporation and shall operate exclusively for educational and charitable purposes within the meaning of Section 501 (c)(3) of the Internal Revenue Code, or the corresponding section of any future Federal tax code.