The following forms can be downloaded for printing, and brought with you to your first session. Opening the document requires a password, which will be e-mailed to you when you schedule your first session.

 

Authorization For Use or Disclosure of Protected Health Information

Consent to Evaluation and Treatment

Intake Form

Limits of Confidentiality

Signature On File and Assignment of Benefits Agreement

 

 

Acrobat Reader is required to view and print these forms. If you do not have Acrobat Reader, please click on image below for a free download.