If you're a new adult client, please complete the following forms and bring them to your first therapy session.
- Client Psychosocial Intake Form
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Consent for Treatment
- Notice of Privacy
- Cancellation Policy
If you are completing the forms for a new child or adolescent client, please complete the following forms and bring them to your first therapy session.
- Client Psychosocial Intake Form
- Consent for Treatment
- Consent for Play Therapy
- Notice of Privacy
- Cancellation Policy
 Client Psychosocial Initial Form (printable) |
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 Client Psychosocial Initial Form (fill in) |
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| Consent For Treatment |
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| Notice of Privacy |
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Cancellation Policy |
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Forms for Children and Adolescents (under 18)
| Client Psychosocial Initial Form (printable) |
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| Client Psychosocial Initial Form (fill in) |
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Consent For Play Therapy |
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| Consent For Treatment |
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| Notice of Privacy |
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Cancellation Policy |
Note: To download Adobe Acrobat Reader for free, click here.
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form (pending)