Bringing Hope and Healing to Children and Families in Hard Places

Forms & Documents

Forms for New Clients

Before your first visit, please review the new client packet by clicking on the appropriate link below. You may download and complete these documents to save yourself some time during your first visit. We look forward to meeting you soon!

Child & Adolescent New Client Packet

Adult New Client Packet


Service Fees

For more information about our fees and need-based sliding scale, please click on the link below.

Fees and Sliding Scale


Hope Fund Application

The Hope Fund was created to help clients who are in need of financial assistance. It is the Papillion Center’s desire to never turn away anyone due to lack of funds. Completion of the application allows you to be considered for the Hope Fund. The Hope Fund reduces your financial responsibility to $10 per session. Please submit to or mail to the Papillion Center.

Hope Fund Application