THIS PAGE IS CURRENTLY UNDER CONSTRUCTION

For your convenience, included in the New Client Packet is New Client Intake Form, Consent For Treatment Form, and HIPAA Form, Information Release Form, and Credit Card Authorization Form.

Instructions:

These forms are fillable forms. After download, open in Acrobat and fill out the editable fields. Save the file and either print and bring with you to your appointment or email back to your therapist.

If you prefer you may download the PDF, print, fill out, and bring to your first appointment.

Individual Forms Are Listed Below

These forms have editable fields as well. Please see the instructions above.

New Client Intake Form

HIPAA – Health Information Privacy Practices

Consent For Treatment Form

Information Release Form

Suicide Risk Assessment Form

Credit Card Authorization Form 

Telehealth Consent Form

Client Update Form