{“main-title”:{“component”:”hc_title”,”id”:”main-title”,”title”:””,”subtitle”:””,”title_content”:{“component”:”hc_title_base”,”id”:”title-base”,”image”:””,”breadcrumbs”:true,”white”:true}},”section_5ZtkF”:{“component”:”hc_section”,”id”:”section_5ZtkF”,”section_width”:””,”animation”:””,”animation_time”:””,”timeline_animation”:””,”timeline_delay”:””,”timeline_order”:””,”vertical_row”:””,”box_middle”:””,”css_classes”:””,”custom_css_classes”:””,”custom_css_styles”:””,”section_content”:[{“component”:”hc_column”,”id”:”column_yZTCH”,”column_width”:”col-md-12″,”animation”:””,”animation_time”:””,”timeline_animation”:””,”timeline_delay”:””,”timeline_order”:””,”css_classes”:”white boxed “,”custom_css_classes”:”tpag-gform-hide-after-submission”,”custom_css_styles”:””,”main_content”:[{“component”:”hc_title_tag”,”id”:”ggjed”,”css_classes”:”text-color “,”custom_css_classes”:””,”custom_css_styles”:””,”text”:”Please Note:”,”tag”:”h3″},{“component”:”hc_space”,”id”:”YhRKx”,”css_classes”:””,”custom_css_classes”:””,”custom_css_styles”:””,”size”:”m”,”height”:””},{“component”:”hc_icon_list_simple”,”id”:”4fb0j”,”css_classes”:””,”custom_css_classes”:””,”custom_css_styles”:””,”rows”:[{“component”:”repeater_item”,”id”:”CilcG”,”icon”:””,”text”:”The referral form can be completed by either a client, caregiver, health professional or educator with permission from the client/caregiver.”},{“component”:”repeater_item”,”id”:”4yBqM”,”icon”:””,”text”:”Our referral form incorporates our Privacy and Confidentiality Statement + Consent to Obtain and Release Information form as part of our commitment to protecting your privacy.”},{“component”:”repeater_item”,”id”:”TsVcr”,”icon”:””,”text”:”If you run into issues with this … Continue reading Referral Form