Consent for Transport
I (We)
​
parent(s) of
​
​
to transportation, in a motor vehicle, of our child(ren) by employees of Tri-Cities Behavioral Therapy (TCBT). I also release TCBT of any liability in the event of an accident that results in injury to my child. I further understand that any employee who transports my child will have a current valid driver's license.
If you would rather print this form and return to us in person or by mail, click on the button below labeled "Printable Forms".
​
Our address is. Tri-Cities Behavioral Therapy 321 West Walnut Street Box #2 Johnson City, Tennessee 37604
Click (Submit) to finish the form. If you can not continue make sure all required fields with an ( * ) have been filled out. Any missed fields will be highlighted in red to make it easier in finding them.
