IBHS IBHS Child's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Name of Parent/Caregiver(Required) First Last What is your child's behavioral health diagnosis?(Required)What school does your child attend?(Required) Are other agencies involved in your child's care?(Required) Yes No What agencies?(Required)What levels of care have you tried prior to IBHS? (For example: outpatient therapy, school-based therapy, psychiatry, etc.)(Required)What current, specific concerns do you have about your child's behavior and development?(Required)
