If you are a new client, please download the first 6 of 8 forms, fill them out completely and bring them to your first session. Also bring a photo copy or picture of the front and back of your health insurance card(s) if applicable.
- Intake Information
- Electronic Payment Authorization
- Limits of Confidentiality
- Cancellation Policy
- Professional Service Agreement
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete the Authorize to Release Health Care Information form. If the patient is a child and under certain circumstance you feel they might need restraining, please fill out the Restraint Agreement and bring that with you too.
The first six forms are required for each patient.
|Electronic Payment Authorization|
|Limits of Confidentiality|
|Professional Service Agreement|
|Authorization to Release Health Care Information|
Note: To download Adobe Acrobat Reader for free, click here.