Please complete the following forms and bring them with you. Thank you in advance!
• Admission Forms
Personal Info
Bio-Psycho-Social
• Limits of Confidentiality and Cancellation Policy
CONFIDENTIALITY & CANCELLATION POLICY
• Informed Consent to Treatment
CONSENT FOR TELEHEALTH THERAPY
Consent to Treatment
• Adolescent Inform Consent
Adolescent Informed Consent Form
• Authorization for Release Form
(If your insurance will be responsible for the payments, please sign this form to allow me to communicate with your insurance Company)
Authorization for release of information form
-Non-Subpoena Contract