INDIVIDUAL FORMS
If you are 18 or older, please print, complete and bring the following forms to your first appointment.
Authorization to Release Information
Adult Informed Consent With Telemental Health and Policies
HIPAA Notice of Privacy Practices
Client Information Form (Adult)
ADOLESCENT FORMS
If the person with a session is under the age of 18, please print, complete and bring the following forms to your first appointment.
Adolescent Parental Informed Consent and Policies
HIPAA Notice of Privacy Practices
Authorization to Release Information
Client Information Form (Child)
Adolescent Informed Consent & Administrative Policies
Parental Assessment for a Minor
NURSING AND MEDICATION INTAKE FORMS
Notice of Privacy Practices
Information and Consent for Treatment
Authorization ROI
Mental Health Intake Form
HIPAA Compliance Patient Consent Form