Please review and complete the forms
listed on this page and bring them to your
first appointment.
If there are details you are unsure of,
please know that we can go over them
when you come for your appointment.
If you are unsure whether you need to fill
out a form, contact me. I will be happy to
let you know what you need.
listed on this page and bring them to your
first appointment.
If there are details you are unsure of,
please know that we can go over them
when you come for your appointment.
If you are unsure whether you need to fill
out a form, contact me. I will be happy to
let you know what you need.
The forms on this page require
a PDF reader. Click the icon
on the left to download Adobe
Reader 9 from the official site.
a PDF reader. Click the icon
on the left to download Adobe
Reader 9 from the official site.
| Adobe Reader 9 |
Consent for Treatment - This form is for everyone to complete and return.
Couple Initial Form - Each partner must fill out this form separately and return.
Financial Policy - This form is for everyone to complete and return.
Release of Information - One release form is to be completed for your primary care
physician another for each mental health practitioner you are receiving services from.
physician another for each mental health practitioner you are receiving services from.
Payment Contract - This form is for everyone to complete.
Minor Agreement - This form is to be completed by minors.
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