top of page

Forms

1. New Client Intake Form

2. Informed Consent Form


3. HIPPA / Consent to Release Information Form

4. Adult Functional Assessment Tool

5. Consent to Treat a Minor

6. Child History Form

Child History.pdf

(PDF — 76 KB)

7. Child Characteristics Checklist

8. Fees and Policies

9. Credit Card Pre-Authorization

bottom of page