Adult Psychotherapy

​Registration/Insurance(Word)
​Registration/Insurance(PDF)
​Psychotherapy/Consent(Word)
​Psychotherapy/Consent(PDF)
​Adult Information Form(Word)
​Adult Information Form(PDF)
HIPAA Notice(Word)
​HIPAA Notice(PDF)
​Acknowledgment of Privacy
Practices(Word)
Acknowledgment of Privacy​
​Practices(PDF)
Payment Agreement(Word)
Payment Agreement(PDF)

​Child Psychotherapy

​Registration/Insurance(Word)
​Registration/Insurance(PDF)
​Psychotherapy/Consent(Word)
​Psychotherapy/Consent(PDF)
Child Information Form(Word)
​Child Information Form(PDF)
​HIPAA Notice(Word)
​HIPAA Notice(PDF)
Acknowledgment of Privacy
​Practices(Word)
Acknowledgment of Privacy
​Practices(PDF)
Payment Agreement(Word)
Payment Agreement(PDF)

Adult Evaluation

​Registration/Insurance(Word)
​Registration/Insurance(PDF)
Adult Information Form(Word)
​Adult Information Form(PDF)
Consent to Evaluate (Word)
​Consent to Evaluate (PDF)
HIPAA Notice(Word)
​HIPAA Notice(PDF)
​Acknowledgment of Privacy
​Practices(Word)
Acknowledgment​ Of Privacy
Practices(PDF)
Payment Agreement(Word)
Payment Agreement(PDF)

Child Evaluation

​Registration/Insurance(Word)
​Registration/Insurance(PDF)
Child Information Form(Word)
Child Information Form(PDF)
Consent to Evaluate(Word)
Consent to Evaluate(PDF)
HIPAA Notice(Word)
HIPAA Notice(PDF)
​Acknowledgment of Privacy
Practices(Word)
Acknowledgment of Privacy
Practices(PDF)
Payment Agreement(Word)
Payment Agreement(PDF)