Forms

Please fill out forms pertinent to your treatment and bring to your appointment

Agreement for Services

This form is needed for all clients

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Authorization to Release Confidential Information

This form is needed for clients using insurance for payment of services

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Telemedicine

This form is needed if you will ever want to conduct a session via telemedicine/video

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Electronic Communication

This form is needed for all clients

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Child Intake Form

This form is needed for any client who is under the age of 18

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Internship Application

Please fill out and fax/email back

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