In order to allow as much time as possible for you during our first meeting, please Review Privacy Statement Pgs 1-3.
Then, please complete required forms below to bring with you to our first appointment:
Therapy Consent, Policies & Agreement Form
Assignment of Benefits & Billing Authorization Form
Privacy SIGNATURE Statement Form
Biopsychosocial Form – Adult
Biopsychosocial Form – Minor
Consent to Release – ROI (bring to be completed in office)