Helpful Forms

If you're a new client, please complete the following (bundled) forms and bring them to your first appointment.

             Registration Forms (Bundled)

If you require the individual forms, click here:

• Registration Form
• Fee Policy
• Informed Consent for Telepsychology
• Credit Card Authorization Form
• HIPPA Notice of Privacy Policy

If you would like your Clinician to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of information:

• Informed Consent- Authorization to Disclose Information Form

 

Note: To download Adobe Acrobat Reader for free, click here.