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Forms

All New Clients

For all new clients, please print, complete, and bring to your first appointment.

 

Client Information
Confidentialty Notice
Notice of Privacy Practices
Adult Clients

Forms for adult clients only, please print, complete, and bring to your first appointment.

 


 

Checklist of Concerns
Child and Adolescent Clients

For child and adolescent clients, please print, complete, and bring to your first appointment.

Developmental History (for Children)
Consent to Treatment
Checklist of Concerns (for Children)
Authorization for Release of Evaluation Information
Request/Authorization to Release Confidential Records and Information
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