| Client
Forms:
If you have made your first appointment, please find
the appropriate forms below as was indicated to you by your therapist. You may
either fill them out on your computer (Word document versions only) and then email
them to your therapist before your first appointment, or print out the forms,
fill them out by hand and bring them with you on your first appointment. Please
note that the Psychotherapist-Patient Services Agreement form MUST
be printed out, signed, and brought with you.
You also have the option
of arriving for your first appointment 30 minutes early to complete ALL this paper work
in the office (including the services agreement).
- Psychotherapist-Patient
Services Agreement — Word Document (must be printed
and signed)
- Patient
Information Form — Word Document
- Adult
Intake
Assessment for Therapy Clients—Word Document
- Adult
General Symptom Checklist — PDF or Word
Document
- Child/Adolescent
Questionnaires (5 forms) — PDF or
Word Document
- Outpatient
Services Agreement for Collaterals — Word
Document
- Informed Consent for Intended Parents — PDF
- Fertility Health History for Intended Parents — PDF
Please
feel free to contact us with any questions or concerns.
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