• Phone: 813.754.5555
  • Email: info@headsusa.com
  • Fax: 813.754.5552
HEADS
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      • Referral Form
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      • Confidential Info Consent
      • School Permission Letter
      • Psychiatric Consent
    • Day Program
      • Referral Form
      • Primary Care Physician Contact
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      • Confidential Info Consent
      • School Permission Letter
      • Psychiatric Consent
      • Off Premises Consent
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School Permission Letter

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  • To Whom It May Concern,
  • attends your school. He/She is currently receiving therapeutic services from a contracted therapist with Healing Educational Alternatives for Deserving Students, LLC (HEADS). These services have been deemed appropriate and necessary in keeping with the mandate of the referral and the intention of the State of Florida. It is critical that you allow these clinical interventions to occur for this child so that this student may receive the support needed and reach his/her goals. The HEADS team will work in conjunction with you and your staff to be the least disruptive to the school day.
  • Below is the consent from the student’s legal guardian:
  • I hereby give my permission for HEADS staff/therapist to see my child,
  • at their school for the purpose of counseling/therapeutic intervention during the
  • Enter dates ie: 2019-2020

We want every client
to achieve their highest potential

  • Contact us
  • Call us today813.754.5555
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Headquarters

Corporate Office – Plant City, FL
Fort Myers, FL Office
Email: info@headsusa.com
Phone: 813.754.5555
Fax: 813.754.5552

Copyright © 2019 - HEADS All rights reserved.
HEADS is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
It is the policy of HEADS to comply with the requirements set forth in the Americans with Disabilities Act, Section 504 of the Rehabilitation Act as well as other applicable local and state regulations. For special accommodations or to request materials in accessible format, please contact us at (813)754-5555. If you are hearing or speech impaired please use the Florida Relay Service 1-(800) 955-8770 (Voice) or 1-(800) 955-8771 (TTY).
  • Home
  • About us
  • Programs
    • Specialized Therapeutic Foster Care
    • Behavioral Health Therapy
      • Referral Form
      • Primary Care Physician Contact
      • Consent for Treatment
      • Confidential Info Consent
      • School Permission Letter
      • Psychiatric Consent
    • Day Program
      • Referral Form
      • Primary Care Physician Contact
      • Consent for Treatment
      • Confidential Info Consent
      • School Permission Letter
      • Psychiatric Consent
      • Off Premises Consent
  • Handbooks
    • Client Handbook
    • Manual del Cliente
  • Disaster Plans
  • Careers
  • Contact us