Request Services Become a Foster Parent Work at AFS Date of Survey: (required) Select Your Preferred Location (required) —Please choose an option—Asheville, NCCharlotte, NCDurham, NCElizabeth City, NCFayetteville, NCGastonia, NCGeorgetown, SCGreenville, SCNew Bern, NCRaleigh, NCWilmington, NCWilson, NC Services Received: Intensive In HomeFamily Centered TreatmentOutpatientFoster CareSchool-Based TherapyDay TreatmentABA ServicesMedication Management Please rate our services below using the following scale. 1-Agree, 2-Neutral, 3-Disagree: My/My child’s symptoms have improved as a result of treatment received (required) 1 - Agree2 - Neutral3 - Disagree Staff treated me/my family with respect for my cultural and personal preferences (required) 1 - Agree2 - Neutral3 - Disagree I would recommend AFS to a friend who needed services (required) 1 - Agree2 - Neutral3 - Disagree If you are neutral or disagree with any of the statements, we would appreciate hearing your concerns or suggestions for improvement in the space below: (required) If you would like for our agency to contact you to discuss these concerns, please indicate this and provide us with a contact number: HIPAA Compliance As a client of Access Family Services, a record of health information is made. In adhering to our Best Practices for HIPAA Compliance, we have made our HIPAA, Confidentiality & Privacy Practices document available for download. HIPAA, Confidentiality & Privacy Practices [Download] Client Rights Handbook As a service to Access Family Services clients,, we have made our Client Rights Handbook available for download. Client Rights Handbook [Download] Client Rights Handbook (En Español) [Download]