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“Charlotte

To request an appointment at the Charlotte TEACCH Center, please complete the appropriate intake forms. Once the completed intake forms and requested reports are received by the Charlotte TEACCH Center, you will be contacted to schedule an appointment.

Choose appropriate age group and click button for Referral Process and Forms:

REFERRAL PROCESS and FORMS for Children and Adolescents
(through age 17)

REFERRAL PROCESS and FORMS for Adult Client
(age 18)

If you have any questions regarding the intake forms or the referral process
at the
Charlotte TEACCH Center call 919-445-2365 

UNC Health Care Forms
To read Notice of Privacy Practice – English | Español
General Consent for Treatment – English | Español
UNC Patient Rights – English | Español
Release of Medical Information and Confidentiality Authorization Form – English | Español