Please complete, print and sign the New Client Registration Packet and your Therapist’s Disclosure Statement prior to your appointment and bring them with you. In addition, please review our Notice of Privacy Policies and you may click on this link to print a copy for your records.
NEW CLIENT FORMS:
- YOUTH (Ages 2-12) New Client Registration Packet
- ADULT (Ages 13+) New Client Registration Packet): Couples please complete & sign separate Adult Registration packets.
- Credit Card Authorization Form: Simplify making co-payments using our Credit Card Authorization Form. This information will be kept on file in our secure electronic HIPAA compliant medical records program.
ESTABLISHED CLIENT FORMS:
THERAPIST’S DISCLOSURE STATEMENTS: