FORMS

If you wish us to be able to communicate with anyone about you or release your records to anyone, please print and complete the Release Form. You may fax it back to us at 888.887.6361.

RELEASE FORM
You can complete your new patient forms prior to your appointment. Be sure to complete the correct forms for the type of appointment you have. Call us if you are not sure.
If you are being seen for:
Read these (no need to print):
Print and complete:
Adult Psychotherapy
INFORMED CONSENT HIPAA NOTICE INTAKE FORMS
Child Psychotherapy
INFORMED CONSENT HIPAA NOTICE INTAKE FORMS PARENT QUESTIONNAIRE
Bariatric (Weight Loss Surgery)
Evaluation
INFORMED CONSENT HIPAA NOTICE INTAKE FORMS BARIATRIC QUESTIONNAIRE
Child evaluation of any kind (ADHD, learning disorder, behavioral evaluation, etc.)
INFORMED CONSENT HIPAA NOTICE INTAKE FORMS PARENT QUESTIONNAIRE INTAKE FORMS INFORMED CONSENT HIPAA NOTICE
Adult ADHD evaluation
ADULT ADHD QUESTIONNAIRE

Important: Click HERE to read about adult ADHD evaluations.

INFORMED CONSENT HIPAA NOTICE INTAKE FORMS
​Forensic or court-ordered evaluations
Any other evaluation not listed above
INFORMED CONSENT HIPAA NOTICE INTAKE FORMS