Current/Previous Client Forms
In order to provide the best care possible, we require that parents attend the first appointment. This applies to all clients under the age of 18.
Current/Previous clients please fill out the Registration Packet first:
Registration Packet
Additional Documents Requested for first appointment (Staff and/or your clinician will inform you if you need to complete any of the below documents):
Patient Rights for Medicaid/Tricare Consumers
HIPAA Information/Notice of Privacy Practices
Adult Comprehensive Clinical Assessment Form
Child/Adolescent Comprehensive Clinical Assessment Form
Information for New Clients being seen in Office
Information for New Teletherapy Clients
Coordination of Care Exemption Form
Consent of Treatment for a Minor
Medical Release of Information
Medical Release of Information for Client’s with Medicaid Insurance
Informed Consent for Online Therapy Services
Informed Consent for In Person Therapy Services
Self-Pay Rates
Non-Recording Agreement
Requesting to not have Medical Records Released
Forms needed to be completed when Information has changed:
Contact Information Update
PCL-C/PHQ-9/GAD-7
Geriatric Depression Scale
Photo ID Upload
Insurance Card Upload
Additional Document Upload
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(i.e. Custody paper work, Updated POA, etc.)