Client Forms
If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you/your child.
- Patient Information Form
- Office Policy:
- This document will provide you with information about my practice, office policies, and procedures.
- HIPPA Compliance:
- This notice describes how psychological and medical information about you may be used and disclosed.
- Credit Card Form
- Telehealth Via Video Conference Agreement
- Authorization Form For Release of Clinical Record
- This form allows me to collaborate with other providers.