Forms

Forms to Print

Select these forms to print and fill out to bring with you to your first appointment.

1. Intake Packet

2. Intake Form

3. Client-Therapist Agreement 

4. Telehealth Consent Form

5. Good Faith Estimate Form

6. Consent to Video & Zoom Participation

7. Consent Form for Alternate Communication 

8. Authorization to Release Medical Information

Miscellaneous Forms 

1. Recurring Payment Authorization Form 

2. Questions To Ask Your Insurance Company

3. Current Family Assessment

4. Family of  Origin Assessment

5. Notice of Privacy Practices | Patients Rights & Responsibilities