Forms

Forms

Please print and complete the following forms and bring them to your first therapy session.

• Client Intake Form
• Authorization to Disclose Information Form ~ Optional to complete
• Informed Consent Form
• HIPAA Consent to Release PHI Form ~ Optional to complete

Please read HIPAA Privacy Practice. On the Informed Consent Form, you will be asked to initial that you have read and understood.

• HIPAA Notice of Privacy Practice

Note: To download Adobe Acrobat Reader for free, click here .