The Ninety-Nine Retreat, LLC — dba
Heart of Care Forms & Compliance Library
Everything you need to work with Heart of Care Full Spectrum Community Treatment Service — written in plain language, structured for HIPAA-readiness, and available online with a signature or as a printable PDF. Nothing here is a substitute for emergency care. In a crisis, call 988 or 911.
Intake
Client Intake & Registration
Basic information so we can meet you where you are.
Consent
Consent for Peer Support & Community Services
Your voluntary yes to receiving peer support from Heart of Care.
Consent for Telehealth Peer Support
For phone, video, or text-based peer support sessions.
Privacy
Authorization to Release / Exchange Information
Lets Heart of Care talk with specific people or agencies about you.
Notice of Privacy Practices — Acknowledgment
Confirms you've received our privacy notice.
Rights
Client Rights & Grievance Policy — Acknowledgment
You have rights here. This is our promise, and how to hold us to it.
Financial
Financial & Fee Agreement
How Heart of Care handles money — and why most services are free to you.
Legal
Mandated Reporter & Duty-to-Warn Notice
The four things we're legally required to report — even without your consent.
Media
Photo, Story & Media Release
You control your face, your story, and how it shows up online.
Peer
Peer-to-Peer Confidentiality Agreement
For group settings — what stays in the room stays in the room.
Safety
My Crisis & Safety Plan
A gentle, in-your-own-words plan for the hardest moments.