Forms

Please download, print and complete the following forms. Bring them with you to your first appointment.

Face Sheet

Policy and Therapy Agreement * Print a copy for yourself. Sign the acknowledgement and bring to your first appointment

Notice of Privacy Practices * Print a copy for yourself. Sign the acknowledgement and bring to your first appointment

Child Intake Form

Release of Information

Directions

Child Intake Form

Credit Card Authorization * Complete if you wish to use a credit card