Getting Started

Forms

All clients must fully complete and return the forms #1-6 at the time of their first visit. Please write legibly and use BLACK INK.:

1. Consent Form
Please complete this form and bring it to your first appointment. The Notice Of Privacy Practices (NPP) is available below and in our offices at anytime. 

2. Authorization For Release Of Information Form
Please complete this form and bring it to your first appointment. With this written permission, we can share information with the individuals and organizations that you list.

3. Family Contact Form
Please complete this form and bring it to your first appointment.

4. Financial Policy and Agreement
Please review and sign this form and bring it to your first appointment.

5. Medical History Form
Please select the appropriate Medical History Form based on age, complete the form and bring it to your first appointment.

6. Client Expectations Form 
Please review and sign this form and bring it to your first appointment.

Notice of Privacy Practices (NPP)  
It is not necessary for you to print, sign or return this form to us. It is available on our website and in our offices at anytime at your request. 

Additional Forms:

Encrypted Email Instructions
This document provides detailed instructions and screen shots for your reference when receiving and opening encrypted emails from us.  It is not necessary for you to print or sign this form.

Client Access To Medical Record Form
This form is not necessary for your first appointment.  Please complete this form to request additinal copies of clinical documentation. 

Request For Unencrypted Email Form 
This form is not necessary for your first appointment. On occasion, a client may request to receive information by unsecure and unencrypted email method.  In those instances. communication is intended for brief exchange of information with limited disclosure of PHI.  Please complete this form to request this method. 

Teacher Questionnaire Form
This form is used for many psycho-educational evaluations. Please complete this form as directed by the therapist.