CLIENT FORMS

New Client Forms

(Click to download.)

Intake Form

To be completed by ALL clients

Parent Questionnaire

To be completed for clients under 18 years of age

Adult Questionnaire

To be completed for clients 18 years and older

Release Form

To be completed as needed (for all ages)

Insurance Reimbursement Process

Consent for Telepsychology

To be completed by all clients receiving services virtually
 

Credit Card Authorization

To be completed by all clients making payments via credit card
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