Mail-In Registration Directions

 Bennington IDRP Program, Turning Point Center of Bennington
465 Main Street, Bennington Vermont 05201

If you are not able to come to one of the walk-in registrations, you can do the mail in registration.  Mail in registration should be received by the third week in the month.  Space is limited, but you will be guaranteed a space in the first class available.  Priority is given to the walk-in registrations however, we usually have space available in the current class month as our classes are small. Please contact Paula Shulman at 802 379-5117 if you plan to do the mail in registration.

There are 6 pages and 4 to return.  You can print them off directly here or contact Paula Shulman at 802 379-5117 to have them mailed to you.  Once we receive your registration and payment, you will be contacted for an intake evaluation.

1 & 2 -Welcome letter and Mail in Directions – these are for your information, please keep.

3 - Notice of Privacy Practice – please print out two of these, keep one and sign & end the other back.

4 - Intake Form – Only fill out the top section from your signature up.

5 – Release of Confidential Information.  Please fill out your name and date of birth on top and sign and date on the bottom.  You can add other contacts you will also need releases with, but this can also be done later.

6 – Expectations of Participants form – Please sign and return.

In total, you will return 4 forms, Notice of Privacy, Release of Confidential Information, Intake & Expectations of Participants form.

In addition, you will also send your registration payment.  We can only accept bank checks or money orders, no personal checks, cash or debit/credit cards.  Remember to sign your checks!

We will need two checks made out to:

$220.00 to Turning Point Center of Bennington
$180.00 made out to
Paula Shulman.

Please return your registration to:

Turning Point Center of Bennington Vt
ATTN: Paula Shulman
465 Main Street
Bennington, Vermont 05201

Please feel free to contact Paula at 802 379-5117 if you have further questions.


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