Forms

Ready to take the next step? Please send us a referral form!

Referral Form/Service Order

 

New Client paperwork (to be completed before first appointment)

Contact Form

Authorization for Use of Electronic Medical Record

Authorization for Filing Insurance

Informed Consent for Psychotherapy

HIPAA Compliance Patient Consent Form

Financial Policy

Credit Card Payment Consent

Divorce/Custody Case Policy

Intake Questionnaire

 

Existing clients connect with us on our client portal!

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