Client Forms
The following forms can be downloaded and completed prior to your first appointment. You will need Adobe Reader to access these forms. If you do not have it installed on your computer, please click here. If you would prefer, I can also email/mail you the appropriate forms.
Teen Packet Individual Forms (Under 18 Years Old)
If you are bringing your teen for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
If you are bringing your teen for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
| Teen Patient Information Form |
| Teen Therapy Consent Form |
| HIPAA Notice of Privacy Practices |
| Receipt of HIPAA |
| Email Authorization Form |
Adult Packet Individual Forms
If you are an adult coming for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
If you are an adult coming for treatment, you will need to review and complete ALL of the following forms prior to beginning treatment.
| Adult Consent Form |
| HIPAA Notice of Privacy Practices |
| Receipt of HIPAA |
| Email Authorization Form |
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