Forms

Forms for Children, Youth/Young Persons

Intake youth or young person (dependent age 18 to 24)

Child therapy contract (to be completed by parent)

Consent to treat a child (to be completed by parent)

Child intake (to be completed by parent)

Office policies

Notice of Privacy Practices (to be completed by parent)

Forms for Adults

Adult intake form

Office policies

Notice of Privacy Practices

Office Forms

Patient consent for release of information

Consent for telepsychology

Consent for returning to in-person therapy sessions

Collateral Agreement Form

Good Faith Estimate Form