Questionnaires
If you are coming in for assessment or bringing your child in for assessment, please fill out one of the following questionnaires (Children or Adult version) and bring it to the first appointment:
Privacy Forms
| Release/Exchange of Information (only print if specifically instructed to do so) |
| Consent to Treat Minors of Divorced Parents |
| Consent to Treat Minors of Divorced Parents |
Credit Card Authorization Form
Some parents prefer that their children do not carry a credit card to appointments. You may prefer to provide me with credit card information. I will keep this information in a locked file cabinet and charge at the time of services.
| Credit Card Authorization Form |