Forms

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

1. Client Record Form
ClientRecFrm.pdf
Adobe Acrobat document [1.1 MB]
2. Consent for Treatment Form
Consent for Treatment MVT(4).pdf
Adobe Acrobat document [28.1 KB]
3. Consent to Treat Minor Form (only for minors)
Consent Treat Minor MVT (4a).pdf
Adobe Acrobat document [6.6 KB]
4. Client Questionnaire
Questionniare(a).pdf
Adobe Acrobat document [566.1 KB]
5. Privacy Practices Form
Notice of Privacy Practices 2020 (b).pdf
Adobe Acrobat document [34.5 KB]