At Emmaus we know that your time is valuable. That’s why we offer a simplified office experience with client forms that you may complete online and print prior to your appointment*. These forms help us better understand your background, allowing us to provide you with the most effective care possible.
As always, please do not hesitate to contact our Schedulers if you have any questions about client forms or your appointment.
NEW CLIENT FORMS:
- 13 & Older New Client Intake
- 12 & Younger Youth New Client Intake
- HIPAA Notice of Privacy Policies
- Credit Card Authorization Form
- Print, review and sign your Therapist’s Disclosure Statements (listed below).
RELEASE OF INFORMATION: If you are transferring care from another provider or have other providers in the community you would like us to collaborate with, please print and sign our Authorization to Release Healthcare Information form, and bring it to your appointment. Learn more about Requesting Medical Records.