First Visit Forms

Please fill out, review, print and bring the forms listed below to your first session.  Please note that the forms are able to be filled out on your computer and printed out or printed out and manually filled in.

Initial session is one hour. Subsequent sessions are 45-50 minutes.

Registration Form.pdf (PDF)PDF

PDF Informed Consent.pdf (PDF)

PDF Group Consent.pdf (PDF)

PDF Intake Information – 11.pdf (PDF)

PDFCredit Card Authorization Form.pdf (PDF)

If the primary patient is a minor (under age 18), please complete the Child/Adolescent Individual Form and bring it to your first visit. Please note that the legal parent or guardian of the minor must sign the consent forms.

PDF Child Adolescent Individual Form.pdf (PDF — 14 KB)

Please read the Health Insurance Portability and Accountability Act prior to coming to your first appointment and then sign the acknowledgement form.

PDF HIPAA Form.pdf (PDF — 103 KB)

PDF HIPAA Acknowledgement.pdf (PDF — 166 KB)