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- New Patient Demographic Information – click here
(For new patients to complete and bring to the first appointment.) - Statement of Understanding (Psychotherapy Agreement) – click here
(Adult or parent should sign the last page and bring to the office visit.) - Adult Evaluation Form – click here
(Adult Initial Evaluation for all new Adult Patients to complete and sign prior to appointment.) - Permission to Treat Child – click here
(For new child patients, parents signature required.) - Child Evaluation Form – click here
(For new child patients, parents complete.) - Health Information Protection and Portability (HIPPA) – click here
(These are the HIPPA regulations describing patient confidentially.) - Permission to Release Treatment Information – click here
- Medicare Agreement – click here
- Credit Card Authorization – click here