Assessment Intake Forms

Child Intake Forms

All new patients will be required to complete the following standard office forms. Forms may be completed prior to or during the intake appointment.

HIPAA Privacy Notice
Child Consent for Treatment
Release of Information
Good Faith Estimate
Child Assessment Intake Questionnaire
 
 

Adult Intake Forms

All new patients will be required to complete the following standard office forms. Forms may be completed prior to or during the intake appointment.

HIPAA - Privacy Notice
Adult Consent for Treatment
Credit Card Authorization
Good Faith Estimate

Questions?

Please do not hesitate to call, email, or text us with any questions you may have regarding the assessment process or above forms. We are always happy to help!

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