Forms

The forms are in PDF format. Click on a form to open/download it.You should print out and complete when coming to your first session. If you get to a place that you aren’t sure about, no worries, just bring it in and we will complete together. The objective if for you to have as much time in the office to focus on yourself and not the paperwork but I will be happy to assist wherever needed.

General Forms:

• Application For Services
• Adult Form
• Credit Card Authorization
• HIPPA Policy
• HIPPA Signature Page
• Insurance Verification
• Release of Information

Child Adolescent Forms:

• Adolescent Confidentiality
• Child Information Form
• School Treatment Notification