If you are a new client, please print, complete, and bring the following forms to your first session. If you are unable to print the form, click on the "Jotform" link for the specific forms, complete and forward the form(s) to the Office.
| Consent Forms (All Clients): |
- Summary of Office Policies (PDF) (Jotform)
- Informed Consent for Treatment (PDF) (Jotform)
- Informed Consent for Testing (PDF) (Jotform)
- Client Rights (PDF) (Jotform)
- HIPAA (PDF) (Jotform)
- Release of Information (PDF) (Jotform)
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| Intake Forms (Adult Clients Only): |
- Intake (Adult) (PDF) (Jotform)
- Problem Checklist (Adult) (PDF)
- OQ-45.2 (PDF)
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| Intake Forms (Child/Adolescent Clients Only): |
- Intake (Child/Adolescent) (PDF) (Jotform)
- Problem Checklist (Child/Adolescent) (PDF)
- Behavior Assessment for Children (Ages 02 - 05) (PDF)
- Behavior Assessment for Children (Ages 06 - 11) (PDF)
- Behavior Assessment for Children (Ages 12 - 21) (PDF)
- Autism Spectrum Rating Scales (Ages 02 - 05) (PDF)
- Autism Spectrum Rating Scales (Ages 06 - 18) (PDF)
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