Downloads
Adult intake package
Adult intake package
CHILD/ ADOLESCENT INTAKE PACKAGE
CHILD/ ADOLESCENT INTAKE PACKAGE
general forms
- Authorization for Use & Disclosure Form (ROI)
- Adolescent Consent (Supplemental to Parent Consent)
- Client Services Agreement & Informed Consent (Adult)
- Client Services Agreement & Informed Consent (Parents of Minors)
- Demographic Form
- Informed Consent for Online Psychotherapy Services (Telehealth Consent)
- Welcome & Overview Letter
- Payment Authorization Form
- Record Request Form
- Social Media Policy
general forms
- Authorization for Use & Disclosure Form (ROI)
- Adolescent Consent (Supplemental to Parent Consent)
- Client Services Agreement & Informed Consent (Adult)
- Client Services Agreement & Informed Consent (Parents of Minors)
- Demographic Form
- Informed Consent for Online Psychotherapy Services (Telehealth Consent)
- Welcome & Overview Letter
- Payment Authorization Form
- Record Request Form
- Social Media Policy