Forms

These forms below need to be filled out and submitted before the first appointment with your therapist.

You can now fill out the forms without printing them. Please, send them back to your therapist before your first appointment.

FILLABLE Forms on your Computer (first 4 forms are required):

Please make sure that after you fill the form out, download and save the files in your computer as new files and, then attach them to the email. If you just fill them out and send, they will be blank. 

• Intake Form (Form is PW protected and securely encrypted when emailed)
• Confidentiality Notice-HIPAA
• Service Agreement Form
• Client Payment Information Form (Form is PW protected and securely)
• Release of Information   (only if needed)
• Minor Consent Form    (only for parents)
• COVID Form   (only for in person)

For exclusively TELEHEALTH, please use the fillable forms above and ad the following:

• Consent for telehealth
• Client online guidelines

If you prefer to print and fill them out before your first appointment, please print the pdf format, fill them out and bring them with you or scan them and send them to your therapist. If you decide to print and scan, you can download the app docscan and email them to your therapist before coming in. It is very simple.

Downloadable forms to print (first 4 forms are required):

• Intake Form
• Confidentiality Notice-HIPAA
• Service Agreement
• Client Payment Information Form
• Release of Information   (only if needed)
• Minor Consent Form  (only for parents)
• COVID 19 Form   (only for in person)

For group therapy, these additional forms are needed:

• Group Consent Form
• Intake Group Form
• Animal Assistance Waiver (only for animal therapy)

If you have any questions, please do not hesitate to contact your therapist.

Thank you in advance!