Please download the appropriate forms before our first appointment and bring the completed form with you to our first appointment. Any part that you are unsure of, we can finish and explain at that time.
All new clients will need to sign the "Outpatient Services Agreement". Same form can be used for children or adults.
If you are an adult client, please also fill out this "New Client Form". If a couple, both parties should fill out a form.
outpatient_services_agreement.doc | |
File Size: | 49 kb |
File Type: | doc |
new_patient_packet_adult.doc | |
File Size: | 163 kb |
File Type: | doc |
If services are for a minor child, please use the "New Client for Minor" form.
new_patient_packet_child.doc | |
File Size: | 156 kb |
File Type: | doc |
Authorization forms to release information. (As needed)
authorization_form.doc | |
File Size: | 32 kb |
File Type: | doc |
authorization_form_minor.doc | |
File Size: | 32 kb |
File Type: | doc |