FOR OUR NEW CLIENTS: Please download, complete and sign the New Client Registration Packet and your Therapist’s Disclosure Statement and bring these to your first appointment.
NEW CLIENT REGISTRATION PACKETS:
- YOUTH (Ages 2-12)
- ADULT (Ages 13+)
- If you are being seen for Couples Counseling, please complete & sign separate registration packets.
- NOTICE OF PRIVACY POLICIES (please print and keep for your records).
- Credit Card Authorization Form: Simplify making co-payments using our Credit Card Authorization Form. This infomation will be kept on file in our secure electronic HIPAA compliant medical records program.
THERAPIST’S DISCLOSURE STATEMENTS: