Forms

For your convenience, you may print and fill out our new client forms below.  This will speed up the process, as typically one has to come 10-15 minutes early to fill out forms.

If you are a first time adult client (16 or older), all 5 forms below must be fully completed prior to your first session.

(1) Adult Client Information Form
(2) Symptom Assessment Form
(3) Personal & Family History Form
(4) Consent for Treatment
(5) Credit Card Authorization Form

If you are a first time child client (15 or younger), all 4 forms below must be fully completed prior to your first session.

(1) Client Information
(2) Child Initial Evaluation Form
(3) Consent for Treatment
(4) Credit Card Authorization Form

 

For your records, The following document is our ‘Notice of Privacy’:

Notice of Privacy

 

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