Prior to your scheduled appointment, please click the names of any of the forms you’ve been instructed to download, print at your location, and complete the requested information.

Adult

Application for Services
New Client Instruction List

Client Rights
Office Policies
Privacy Practices
Adult History Form
Adult Symptom Checklist

Child

Application For Services
New Client Instruction List
Client Rights
Office Policies
Privacy Practices
Consent to Treat
Child History Form

All Clients using insurance for payment will be asked to sign a CMS-1500 Health Insurance Claim Form when they check in and produce their insurance card to be copied.  They should also be prepared to either pay their appropriate insurance co-payments or the full session fees at the time of service.