Forms

Please fill out the following forms and bring them with you to your initial meeting.

Download
1. Client Record Form
ClientRecFrm.pdf
Adobe Acrobat document [1.1 MB]
Download
2. Consent for Treatment Form
Consent for Treatment 2020.pdf
Adobe Acrobat document [1.5 MB]
Download
3. Consent to Treat Minor Form (only for minors)
Consent Treat Minor 2020.pdf
Adobe Acrobat document [210.9 KB]
Download
4. Client Questionnaire
Questionniare(a).pdf
Adobe Acrobat document [566.1 KB]
Download
5. Privacy Practices Form
Notice of Privacy Practices 2020.pdf
Adobe Acrobat document [2.0 MB]