Below are the forms needed for your first appointment:
If you are being seen through our TELEHEALTH system you will receive an email containing links to our e-forms to submit online.
If you are coming into our OFFICE we ask that you please print and fill out the applicable forms and bring them to your first visit.
The following five forms are needed from every patient:
If you are coming into our OFFICE we ask that you please print and fill out the applicable forms and bring them to your first visit.
The following five forms are needed from every patient:
The Teletherapy Informed Consent and Credit Card Authorization Form is only needed by those scheduling teletherapy sessions.
The Insurance Agreement form is only needed from patients that will be using their insurance for payment.
The Financial Information form is only needed from patients that will NOT be utilizing insurance:
Required for Children/Teens: Required for Adults: