Sign-up Forms
Print and fill out the form to bring in with you on your first visit. We also have forms on-site that you can fill out.
STAC (Safe Teen Assessment Center) General Form
PDF
Simply Hope Safe Teen Assessment Center (STAC) is a Tier 2 assessment center conducting screeners and crisis therapy. The goal of Simply Hope STAC is to create community partnerships and collaborations to assist youth and families in our community. As of August 2023, STAC has partnered with the Cassia County School District to provide the Connect program, renamed Connect Hope.
Please fill out in full and either email it to
simplyhopefamilyoutreach@gmail.com or bring it in to our front office at 1323 Oakley Avenue, Suite 20, Burley, Idaho 83318
Please fill out in full and either email it to
simplyhopefamilyoutreach@gmail.com or bring it in to our front office at 1323 Oakley Avenue, Suite 20, Burley, Idaho 83318
STAC Counseling Form
PDF
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STAC School ROI
PDF
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STAC AUTH POLICY
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