New ClientsThese files are in a fillable PDF format, and contain the intake forms and questionnaires that you will be asked to complete prior to your first appointment.
You may download the form, open through Adobe Acrobat Reader, complete, sign electronically, and email to email@example.com. Alternatively, you may print out the form to complete, sign, scan, and email to firstname.lastname@example.org or, for in-person clients, you may bring to your first appointment.
2. Intake Form & Policies
3. Adult History Form This form is for adult clients.
4. Child/Adolescent History Form This form is for clients ages preschool through high school.
5. HIPPA Forms
6. Consent to Release Information
7. Credit Card Authorization Complete this form to put a credit card on file to facilitate payment for therapy.
8. Referral for Court Ordered Evaluation
9. Consent for Court-Ordered & Court Involved Treatment
10. Teletherapy Form