Forms

New Client Forms

If you are a new client, please download and print these forms, fill them out and bring them in to our first appointment. If we are using Tele-Psychology and you will not be coming in for your first appointment, then please email the completed forms to me at [email protected]

Billing Form

Disclosure Statement

Schedule of Fees 2024

HIPAA Statement

HIPAA Signature Form

Consent for Minor Child



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