Application
Our services are initiated with the completion of the application packet. We believe that a thorough evaluation requires information. Thus, the packet is our way of ensuring that your services at Adoption and Attachment Therapy Partners, LLC are initiated with a solid understanding of your unique situation.

Complete packets or individual application packet documents are accepted by regular mail. Send to:

Arleta M. James, LPCC
Adoption and Attachment Therapy Partners
1201 Canyon View Road
Sagamore Hills, OH 44067

If you have any questions, please call 330.813.2525.

All of the following sections are required to complete your application:

Full Application
Child Registration Form
Financial Agreement
Permission to Treat
Child History Report
Parent Autobiography
Notice of Privacy Practices and Consent to Use and Disclose Your Health Information

Please include the symptom checklist appropriate for your son or daughter’s age:

Attachment Symptoms for Children Under 5
Attachment Symptoms for Children Over 5