Forms

Please review the forms below, in detail, and complete prior to your first session. We will review these forms in more detail during your first session. Please prepare any questions you may have about these forms and/or policies for review during your first session. If you do not have access to a printer, please inform your therapist and arrive 20-30 minutes before your scheduled session to receive and complete these forms.

If you are using Health Insurance ‘in-network’ benefits, you do not need to complete form #6.

If you are Self/Private Pay Only, you do not need to complete form #5, but must complete form #6.

  1. Consent for Services

  2. Client Intake Form

  3. Notice of Privacy Practice

  4. Notice of Privacy Practice Receipt and Authorization

  5. Health Insurance Use Guidelines

  6. Self/Private Pay Agreement