Keymaker Keyholewhite - Keymaker Services

Forms & Documents

Intake Form

To better identify which program or combination of programs is the best fit and a good starting point for your youth, please complete the intake form to the best of your ability. It will be reviewed by a highly qualified learning support specialist who will then contact you with professional recommendations as to the next steps.

Release of Information

Please download & complete the release of information form for your youth, listing each professional and/or organization/school currently working with your youth. Once you have it filled out, you can email it back to

Julie is a wonderful counselor.

I’ve only had a few sessions but I can tell I’m getting a lot out of our sessions. She is a great listener and always gives me homework and helps me work through what I’m going through. I’m excited to see where our sessions go and how much better I’ll feel!
Path 44@2x White - Keymaker Services