Forms

New Patient Paperwork for Individual Counseling
New Patient Paperwork is to be completed AFTER you have registered online by following the steps on the New Patient page or have called in and registered over the phone. The bio forms listed in the portal are NOT the new patient paperwork. Bio forms are optional; new patient paperwork is required.

New Patient Paperwork for Couples Counseling
You AND your partner/spouse need to complete a set of this paperwork, separately.
 
Telehealth Informed Consent 
Required for everyone receiving telehealth services

Authorization for Release of Information (ROI)
 Release of Information is OPTIONAL, if you have someone you want us to share your information with (physician, family member, another provider, etc)

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In-person Consent during Covid-19 
Only to be completed by existing patients with unique circumstances who have made special arrangements with their provider to be seen in person.

For internal providers only: In-Person Appointment Checklist
​Only to be completed by internal providers

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