At Emmaus we know that your time is valuable. That’s why we offer a simplified office experience with online client forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. If you do not have time to complete the packet ahead of time, please plan to arrive 20 minutes prior to your appointment to complete in our lobby. As always, please do not hesitate to contact our Schedulers if you have any questions about client forms or your appointment.
NEW CLIENT REGISTRATION:
- ADULT New Client Registration Packet (Ages 13+)
- Youth Registration Packet (Ages 2-12)
- HIPAA Notice of Privacy Policies
- Credit Card Authorization Form
- Print your Therapist’s Disclosure Statements (listed below).
RELEASE OF INFORMATION:
If you are transferring care from another provider, coming to see our Nurse Practitioners for medication management, or have other providers in the community you would like us to collaborate with, please print and sign this form, and bring it to your appointment.