Before your first appointment, please review and sign our office forms.

Before your first appointment, you may wish to review our office forms. Below are the standard forms that we use, including a patient agreement form. Be sure to read our Notice of Privacy Policies as you will be asked to sign an acknowledgement that you have read this particular document. You may also review these documents in our offices upon your arrival. Please allow a minimum of 20 minutes prior to your appointment in order to complete them in the office.

1. Select and open the form you need.
2. BEFORE completing the form, download it and SAVE the form to your device (as a .pdf).
3. Open the saved PDF using Adobe Acrobat Reader
4. Click the Fill & Sign icon in the toolbar on the right to display the Fill & Sign tool
5. The form fields are detected automatically. Type in your responses.

6. To add your signature, click the Sign icon in the toolbar. You will see Type, Draw or Image. We recommend that you Draw your signature or insert an Image of your signature.
7. SAVE the completed document as a PDF.
8. Print and return by mail, or request a secure email to send them to us digitally.
9. Forms must be received 2 days in advance of intake.

New patient checklist for under 18

Client Services Agreement (minor)

Notices of Privacy Policies

TelehealthVideoConferece Agreement (Required only if engaging in video-conferencing)

Client Intake Child/Adolescent Developmental History

Request for Confidential Handling of Health Information

Authorization Form for Release of Clinical Information

Separated/Divorced Parents Agreement

Credit Card Permission Form

Covid In-person Consent Form

Notice to Clients and Prospective Clients Regarding a Good Faith Estimate

New patient checklist for 18 and over

Client Services Agreement

Notices of Privacy Policies

Telehealth/Video Conferencing Agreement(Required only if engaging in video-conferencing)

Adult Intake Form

Request for Confidential Handling of Health Information

Authorization Form for Release of Clinical Information

Credit Card Permission Form

Covid In-person Consent Form

Notice to Clients and Prospective Clients Regarding a Good Faith Estimate

1. Select and open the form you need.
2. Before completing the form, download it and save the form to your device (as a .pdf).
3. Open the saved PDF using Adobe Acrobat Reader
4. Click the Fill & Sign icon in the toolbar on the right. to display the Fill & Sign tool
5. The form fields are detected automatically. Type in your responses.
6. To add your signature, click the Sign icon in the toolbar. You will see Type, Draw or Image. We recommend that you Draw your signature or insert an Image of your signature.
7. SAVE the completed document as a PDF.
8. Print and return by mail, or request a secure email to send them to us digitally.
9. Forms must be received 2 days in advance of intake.

Forms

Before your first appointment, please review and sign our office forms.

How to fill and sign a PDF form:

Patients Under 18

Patients 18 and Over

How to fill and sign a PDF form: