New Client Forms

Please complete the following REQUIRED forms prior to your first appointment.

Step 1: Choose and complete applicable form

New Client Information (Child-Teen under 18)

OR

New Client Information (Individual Adult 18+)

OR

New Client Information (Family/Parenting)

Step 2: Complete

HIPAA Notice and Acknowledgement 

Step 3: Print, complete and bring to your first appointment

Credit Card Authorization Form

Step 4: OPTIONAL FORMS

Consent for Telehealth Treatment

TO BE COMPLETED FOR ONLINE (ZOOM) OR REMOTE TREATMENT

Authorization for Release/Exchange of Information 

THIS FORM MUST BE PRINTED, COMPLETED AND RETURNED IN PERSON OR VIA E-MAIL