If you will be a new patient, please download the first THREE forms (white text), fill out and bring to your intake appointment.
Please read the three documents in yellow before you sign the Signature Page.
The last form is for your information.
1
Home
Bio
Services
Forms
Directions
Patient_Healthcare_Information_2019.pdf
Symptom Checklist.PDF
Signature_Page_2019.pdf
Information_and_Patient_Services_Agreement_2019.pdf
How To Benefit From Therapy.pdf
Clinical Psychologist
Release_of_Information_2019.pdf
HIPAA Information.PDF
Phone, Email, Text, Social Media Policy.PDF
