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Forms

Intakes

Please download, print, and complete the intake form and questionnaire. If you require any assistance, please call us on 703 218 6599.

Client’s rights

The safety, rights, and privacy of our clients and families are our topmost priority. The following notice is reviewed with every client in the presence of their parents or guardians before any VTCC service is initiated:

Insurance we Accept

Currently, VTCC only accepts clients with Medicaid or county funding. Contact your local or state Medicaid office to verify the status of your child’s Medicaid coverage. If you have your child’s Medicaid card, this number is typically listed on the back of the card. If you do not have your child’s Medicaid card, please contact our administrative staff at 703-218-6599, for assistance in verification process.