If you are a new client, please print and complete the forms on this web page and bring them to your first therapy session.
On your first session please bring a drivers license or state issued identification card and your insurance cards for the initial appointment.
If you do not fill these out ahead of time please plan to be to your session 30 minutes before the start of your appointment.
Feel free to contact our office with any questions.
These 8 forms need to be printed and brought to your first appointment.
1. Intake Form
5. Child Symptom Checklist (For patients 18 years and younger)
7. Separated/Divorced Parents' Agreement Form (required for children of separated or divorced parent)
8. Record Release - Please list your Primary medical doctor
The following two forms only need to be read before your first appointment.
1. Mental Health Therapist Patient Services Agreement
2. HIPAA Forms