Once we you’ve made an appointment, we recommend you take the time to print and fill out the following forms, before your first appointment.  Bring the completed forms with you, to save time.

Forms for Adult Clients:
  1. HIPAA Notification (Informational)
  2. Service Notification (Informational)
  3. Receipt and Acknowledgement (Must Sign and Return)
  4. Consent Form (Must Sign and Return)
Forms for Parents/Guardians of Children:
  1. HIPAA Notification (Informational)
  2. Service Notification (Informational)
  3. Receipt and Acknowledgement (Must Sign and Return)
  4. Consent Form for Minor (Must Sign and Return)
Additional Forms:
(We’ll specifically ask you to fill these out, if you need them. Otherwise, don’t worry about these!)
  1. Authorization to Disclose for Adult
  2. Authorization to Disclose for Minors
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