Getting Started

Forms

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

1. Consent & Alternate Contact Form
Please complete this form and bring it to your first appointment.

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.

Additional Forms:

Encrypted Email Instructions
This document proivdes 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.

Privacy Policy
This form is for your review only. 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 additional copies of any 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.