Resources

Forms

In order to maximize your time spent with the clinician, please print and fill out these forms and bring them with you to your first visit.

Adult clients:

• Consent to Treat
• Email Authorization form
• Authorization to Release Information
• Notice of Privacy Policies
• Notice of Privacy Policies Consent Form
• Intake Questionnaire
• Fee Schedule

Child Clients:

• Consent to Treat
• Email Authorization form
• Parent and Child information
• Authorization to Release Information
• Notice of Privacy Policies
• Notice of Privacy Policies Consent Form
• Fee Schedule
• Consent to Videotape