NEW PATIENTS
FORENSIC EXAMINEES: If your assessment is for a legal purpose, your paperwork is not on this website. If you would like the paperwork for a forensic evaluation prior to your scheduled appointment, please give us a call.
New Patient Deposit:
A deposit is required to schedule a new patient appointment. Please don't take this personally! This policy is intended to reduce no-shows for first time appointments. The amount of the deposit varies with the service being requested. Most new patient appointments require a $40 deposit, but some lengthy evaluations require $75 or more. The deposit will be applied toward your fee or copayment for your first visit. If your insurance covers our services at 100%, your deposit will be refunded to you after your claim processes. If you wish to cancel your appointment after scheduling, we are happy to refund your deposit if you provide us more than 24 hours' notice. If you need to reschedule, please give us at least 24 hours' notice, or the deposit will be forfeited and a new deposit must be paid. Any subsequent appointments cancelled or rescheduled without at least 24 hours' notice will be billed to you at $40.
New Patients, Please Arrive early!
Please arrive at least 20 minutes prior to your scheduled appointment to complete new patient paperwork (unless you have completed it in advance, in which case please arrive 10 minutes early). We typically do not run behind schedule. Your clinician has reserved a specific amount of time for you and will not be able to extend your appointment if paperwork is not ready by the start of your appointment.
Better yet... complete your new patient paperwork prior to your appointment.
You may download, print, and complete your new patient paperwork prior to your appointment and bring it with you. You should still come 10 minutes early to present your ID and insurance card and make any necessary payments.
1. Read our informed consent, financial policies, and HIPAA privacy policy (no need to print):
2. Then, print and complete this two-page intake form:
3. Print and complete any additional forms that pertain to your specific type of appointment:
Child Counseling or any Child Evaluation
Adult Evaluation
Adult Psychotherapy
Bariatric (Weight Loss Surgery) Evaluation
Forensic (legal related) Services
Your forms are not on this website. Please call the office if you would like your paperwork prior to your appointment.
Authorization to Release Protected Health Information:
If you want us to be able to share any information about you to a family member, your primary care physician, or any other person or agency, you may print and complete this release form: