Please list below anybody who has permission to pick up your child from Tri-Cities Behavioral Therapy (TCBT) ABA therapy sessions. The Staff of TCBT will ask for identification when someone other than the parent/caregiver arrives at the clinic to pick up your child.
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.
