Program Forms

Fall 2026 Forms are due by 4:00pm on Tuesday, September 8, 2026

The following forms must be completed once a year. Not sure if your forms are due? Contact our office at 410-704-7300.

The forms below are completed online securely using Adobe Docusign:

Health Care Protected Information Disclosure Form

Request for Service

Participant Agreement Form

Participant Information Form

Participant Agreement For Transportation Form (Each Semester)

It is important that all forms are completed in full and returned to the Hussman Center prior to the start of programs. If forms have not been completed, the Hussman Center reserves the right to delay a participant’s admittance to their program until forms are submitted.

The forms below are completed online securely using Adobe Docusign:

If you’re a NEW CAPS participant or have not participated in more than 1 calendar year, your Forms for the Fall semester are due Monday, August 17, 2026

All Returning participant CAPS Forms for Fall 2026 are due Monday, August 24, 2026

All CAPS Payments will be due Wednesday, August 26, 2026

Health Care Protected Information Disclosure Form

Request for Service

Participant Agreement For Transportation Form (Each Semester)

CAPS Participant Information Confirmation Form

CAPS Participant Agreement Form

The form below is completed online securely using Adobe Docusign:

Lisa Higgins Application

Lisa Higgins applications for Fall 2026 Group Programs are due by Friday, August 28, 2026. Responses to Lisa Higgins applications for Fall 2026 Group Programs are expected by Wednesday, September 2, 2026.

Lisa Higgins applications for the Fall 2026 CAPS Program are due on Friday, August 21, 2026. Responses to Lisa Higgins applications for the Fall 2026 CAPS Program are expected by Monday, August 24, 2026.