Patient Forms

NEW PATIENTS: Please download the following forms, fill them out, and bring them with you to your first appointment.

For a new child/adolescent, the following forms need to be printed:

• Insurance benefits worksheet
• Child/adolescent demographic form
• Child/adolescent assessment form
• Outpatient services contract
• HIPAA signature form
• Consent to treat a minor
• PCP form

For a new adult (18 and over), the following forms need to be printed:

• Insurance benefits worksheet
• Adult demographic form
• Adult assessment form
• Outpatient services contract
• HIPAA signature form
• PCP form

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The following form is for your review, but does not need to be printed out:

• ​Two-way authorization to release information

For a new COLLABORATIVE LAW client, the following forms are for your review:

• Collaborative Law Agreement
• Collaborative Law Release of Information
• Collaborative Law Client Information Form