Forms
STOP!! The following forms are for scheduled patients only. If you have not been scheduled, please complete the Initial Contact form. We will respond within one business day.
Please fill out the forms that the doctor requested from you. You can fill them out online, or print and fill out forms by hand.
| 1. HIPAA Privacy Policy | Printable Form | |
|---|---|---|
| 2. Client Agreement and General Consent to Treatment | Online Form | Printable Form |
| 3. General Information - Adult | Online Form | Printable Form |
| 4. General Information - Child | Online Form | Printable Form |
| 5. History - Adult | Online Form | Printable Form |
| 6. History - Child | Online Form | Printable Form |
| 7. Authorization to Release or Receive Information | Online Form | Printable Form |
| 8. Couples Therapy Questionnaire | Online Form | Printable Form |
| 9. Parenting Skills Questionnaire | Online Form | Printable Form |
