Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Forms  to be downloaded for all patients (adults and children):

1. Disclosure & Fee Agreement
2. HIPAA Privacy Practices
3. Receipt of HIPAA Privacy Practices
4. Office Policies
5. Receipt of Office Policies

Forms to be downloaded for adults:

1. Adult Intake (Including 1-5 above, for all patients)

Forms to be downloaded for children:

1. Child Intake
2. Consent to Treat a Minor (Including 1-5 above, for all patients)

Form to be downloaded for adolescent:

1. Adolescent Self-Reporting (to be completed by adolescent)
2. Child Intake (to be completed by parent)
3. Consent to Treat a Minor (Including 1-5 above, for all patients)