First Visit Forms

Please print, review, and complete the 4 forms below, and bring them to your first visit. If you plan to utilize your insurance, please bring your medical insurance card and ID. Each session is typically 45-50 minutes.

PDF Client Registration Form.pdf (PDF — 61 KB)

PDF Informed Consent.pdf (PDF — 113 KB)

PDF Adult Intake Information.pdf (PDF — 21 KB)

PDF HIPAA Acknowledgement.pdf (PDF — 120 KB)

If the primary patient is a minor (under 18), please also complete the child adolescent intake information form below. The legal guardian or parent will need to sign all forms.

PDF Child Adolescent Intake Information.pdf (PDF — 20 KB)

Please read the HIPAA form below prior to your appointment.

PDF HIPAA.pdf (PDF — 103 KB)