Patient Forms

Intake Packet

Open Form

Protected Health Information Disclosure

Open Form

Insurance Card Upload

Open Form

Name Change Acknowledgment

Open Form

Treatment Plan Consent and Agreement

Open Form

Payment Authorization Form

Open Form

Spanish Intake Documents/Haga clic aquí para ver nuestros documentos en español.

Open Form

Client Authorization for Student Observation/ Participation

Open Form

Consent and Services Agreement - Group Therapy

Open Form

Coordination of Care (COC)

Open Form

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