If you’re a new client, please print and complete the following forms and bring them to your first counseling session.
- Patient Record
- Informed Consent
- Insurance Assignment Form
- Attendance Policy (Non- Medicaid)
- Attendance Policy (Medicaid Only)
- Release to Primary Physician
- Personal History Form
If you would like for your therapist to coordinate care with another provider or a third party (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free,