FORMS

IMPORTANT DOCUMENTS FOR NEW PATIENTS TO READ
All new patients (except forensic) must read the following three documents (you don't need to print them):
INFORMED CONSENT FINANCIAL POLICIES NOTICE OF PRIVACY PRACTICES
FORENSIC EVALUATIONS
ARE DIFFERENT! 
 
If your appointment is for a psychological assessment that is for a legal purpose, your paperwork is not the same. If you would like the paperwork for a forensic evaluation prior to your scheduled appointment, please give us a call, as we do not offer it on this website.
WHAT FORMS SHOULD I COMPLETE?
1.
Please print and complete the following two-page form:
INTAKE FORMS
2.
Additional required forms specific to type of appointment (print and complete):
PLEASE PRINT AND COMPLETE:
IF YOU ARE BEING SEEN FOR:
Bariatric (Weight Loss Surgery) Evaluation
BARIATRIC QUESTIONNAIRE
Adult Psychotherapy or Evaluation (except ADHD)
No additional forms.
Adult ADHD evaluation
ADULT ADHD QUESTIONNAIRE
Child psychotherapy or any child evaluation
PARENT QUESTIONNAIRE
Please bring your driver's license or other identification to your first appointment. If you are using insurance, please bring your insurance card. We look forward to your visit!
RELEASE OF INFORMATION FORM
RELEASE FORM

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.