Forms

The New Client Packet  has the following forms and must be filled out prior to your first session. Please print using both sides of the paper, front/back:

1) Intake Form

2) Consent for Treatment and Practice Policies

3) Notice of Privacy Practices

       4) Insurance Information

 

*If you are a PRIVATE PAY client only, use the following: Private Pay Client Forms. These forms include the same as above but includes a Credit Card Authorization Form kept on file for no show appointments, (for private pay or out-of-network clients only).