Forms

If you have a printer, please print, complete and bring the below forms to your first appointment (If you don’t have a printer, we will provide you with these forms to fill out before your appointment. Please arrive 15 to 20 early so you have time to fill them out.).

 

Client Registration (68kb) Adult Child Intake Form (106kb)
Consent to Treat (43kb) Symptom Checklist (57kb)
Consent to Treat a Minor (43kb) BSI (82kb)
Please read and keep the following form:
To view these files you will need to have Adobe’s Acrobat Reader. Its a free download and is available for both the Mac and Windows.