Attachment-Focused Therapy Intake Forms


For parents to complete about child



Intake Information

Word Format

PDF Format

Symptom Checklist (ages 5 and up)

Word Format

PDF Format

Symptom Checklist (ages 0-5)

Word Format

PDF Format

Sensory Integration Disorder Checklist

Word Format

PDF Format

Attachment Rubric

Word Format

PDF Format


For parents to complete about themselves



Parenting Profile for Developing Attachment

Word Format

PDF Format

Lifescript

Word Format

PDF Format


For child to complete



Sentence Completion Form (ages 5 and up)

Word Format

PDF Format


Information about attachment therapy

For reference only


ATTACh Information

Word Format

PDF Format

ATTACh Coercion Policy

Word Format

PDF Format