Office Forms

HIPPA notice of Privacy Practices Acknowledgement Form

Mental Health Services Forms

If you are seeking mental health services please click below on the three intake forms. Printing out and completing the forms will allow you to save much time at your first visit. Please print all the forms and complete/sign them where indicated. Bring the forms to your first session and turn them into the secretary.

Client Intake Form

Scheduling and Financial Policies

Financial Agreement

Office Policies and Procedures

Adolescent Initial Evaluation Form

Minors in Mental Health Therapy

Adult Initial Evaluation Form

Chemical Dependency Services Forms

If you are seeking chemical dependency services please click below on the five intake forms. Printing out and completing the forms will allow you to save much time at your first visit. Please print all the forms and complete/sign them where indicated. Bring the forms to your first session and turn them into the secretary.

Client Info and Policy Statement

CD Consent to Treat

Client Intake Form

Financial Agreement

Scheduling and Financial Policies

Office Policies and Procedures