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2262 S. Germantown Rd
Germantown, TN 38138
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Forms and Documents
We are unable to guarantee the confidentiality of any information sent by email. Because of this, we encourage you to print and bring these forms to your child’s assessment. If you prefer to email the paperwork, please send them to firstname.lastname@example.org.
Please bring a copy of your child’s immunization record to your assessment. Please bring a copy of your child’s most recent psychological and psychoeducational test results.
Prior to your scheduled assessment, please complete the forms below.
- Program hours are Monday – Friday, 8:00am – 2:00pm (Summer hours are 9:00am – 2:00pm)
- The average length of stay at Daybreak is seven weeks, or 35
Daybreak is an approved provider for most insurance carriers*. Should a child meet the criteria for admission, insurance coverage is checked and an estimated out of pocket amount is provided. This estimate is based on the information received from the insurance company prior to admission.
*We do not accept TennCare.