General Forms

All forms (other than registration forms) must be completed and returned to the office in person or by mail, they cannot be submitted online. Mail or bring forms to: The Children’s Program, 7707 SW Capitol Hwy, Portland, OR, 97219.

Please complete the forms using one of the two following methods:

  1. Print out the forms one page at a time, no two-sided copies please, and then complete them.
  2. Complete forms on your computer via PDF or MS Word. Forms must then be printed out and returned to the office. If you cannot print out the forms, please call the office and we will mail the forms to you.

If you have any questions about completing these forms, please call our office (503) 452-8002.

Please Note: Many groups are limited in size. Cancellations within 4 business days of the start of the class incur a $35 processing fee.

Please check your printer settings, be sure to print each page individually not two-sided or duplex. 

1. Release to Disclose Confidential Information*: PDF Word

2. New Client Registration Packet*: PDF Word

3. Adult Registration Packet*: PDF Word

4. Returning Client Packet*: PDF Word

5. ADD/ADHD Beginners Group Packet: PDF, Winter 2016

  • Calendar: PDF

6. Paying Attention to Attention Packet (Intensive Format): PDF, Spring 2016

7. Paying Attention to Attention Packet (Weekly Format): PDF, Spring 2016

  • Calendar: PDF

8. Mind Target for Boys Packet: PDF, Winter 2016

  • Calendar: PDF

*To view and print a list of individual forms contained these packets click here.


Please note, some of these forms require Adobe Acrobat to display and print