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

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

REFERRAL FORMS for Children and Adolescents
(through age 17)

REFERRAL FORMS for Adult Client
(age 18 and older who is NOT his/her OWN GUARDIAN)

REFERRAL FORMS for Adult Client
(age 18 and older who is his/her OWN GUARDIAN)

If you have any questions regarding the intake forms or the referral process
at the
Greensboro TEACCH Center call  336-334-5773

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