Helpful Forms
If you're a new (Adult) client, please complete the forms below and bring it to your initial intake session.
new-patient-regisration-adult.pdf
adult-intake-questionnaire.pdf
informed-consent-word-2023.pdf
verification-of-reciept-of-hippa.pdf
If you are a parent/guardian of a minor, please complete the forms below and bring to the initial intake session.
New-patient-registration-for-minor-supplement.pdf
new-patient-regisration-minor.pdf
child-intake-questionnaire.pdf
informed-consent-word-2023.pdf
verification-of-reciept-of-hippa.pdf
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free,
click here
.