Parent Intake for Student Mental Health & Medication Care

Our Parent or Guardian Intake Form is designed for families helping a student access mental health or medication-related care through telehealth. This form allows parents or legal guardians to share important background information so our clinical team can appropriately route and coordinate student care.

Telehealth services are available statewide in Florida and are delivered by licensed providers.

Who Should Complete the Parent Intake Form

This intake form is recommended for:

  • Parents or legal guardians of students under 18

  • Families supporting a student’s mental health or psychiatric care

  • Parents seeking guidance on medication evaluation or ongoing medication management

While parents can provide helpful context, all care decisions are made by licensed clinicians following appropriate evaluation.

How Parent Intake Supports Student Care

Submitting the Parent Intake Form helps our team:

  • Understand the student’s needs from a caregiver perspective

  • Route the student to appropriate services based on age and goals

  • Coordinate next steps while respecting privacy and clinical standards

Our goal is to support both students and families through a clear, structured intake process.