Please print and fill out the following forms and then bring them to your first session.


 

Client Intake Form

Information about the client, including general health and medical health history.

Download
 

 

Acceptance of Adult Consent Form

Contract between client and therapist for services and confidentiality.

Download
 

 

Adult Consent Form

Description of contract between client and therapist for services and confidentiality.

Download
 

 

Credit Card Authorization Form

Contract between the client and therapist including Cancelation Policy and charges.

Download
 

 
Download

Notice of Privacy Practices Form

Acknowledgement of receipt of the Notice of Privacy practices