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Intake Forms/Release of Information

Below are the intake forms that will need to be completed at the initiation of services.  You may chose to print and complete and then bring them with you to your first session.  Please note that we will also need to obtain a copy of the front and back of your insurance card by the time of your first appointment.  


 

For adults (18 and over), please complete the Adult Intake Packet

For children and adolescents (under 18), the Adolescent/Child Intake Packet needs to be completed by a legal guardian

The Testing Agreement details the process and financial understanding for psychological testing.

The Release of Information Form only needs to be completed if there is someone you would like us to communicate with.  This can include teachers, physicians, etc.  Please note that authorization for a release can be completed or withdrawn at any time.


 

​Intake PacketTesting AgreementReleasePractice ​Orientation Form
​Adult​Intake Packet​AgreementReleasePractice Orientation
​Child​Intake Packet​AgreementRelease​Practice Orientation