Client Forms

Forms for All New Clients

We have provided the following forms if you want to review them or if you want to complete them prior to your arrival for your first session.

If you have not completed the forms prior to your arrival for your first appointment, please let us know ahead of time and we’ll leave the forms for you on a clipboard on a table in the waiting room.  Please arrive 20 minutes before your scheduled appointment time to complete them.

Please complete the following two forms, print them and bring them to your first appointment.

Client Information Form

Psychotherapy Agreement

In the Psychotherapy Agreement above, you can review information about many of our policies including our policies and practices to protect the privacy of your health information (in accordance with the Health Insurance Portability and Accountability Act [HIPAA] Privacy Rule).

Form for New & Existing Clients Using Telepsychology

If we informed you that we will be providing services for you using telepsychology, please print and sign this form and we will tell you the options for sending it to us.

Telepsychology Addendum