Client Forms

Good Faith Estimate Notice

Clients can print and bring the completed packet to their first appointment, or fill it out and email it back to their clinician.

Intake Forms Packet – Adult Client [18+ years]

Intake Forms Packet includes: Adult Client Registration Form, Appointment Reminder Form, Consent to Treatment, Consent to Treatment – Online Therapy, Notice of HIPAA Policies and Practices Acknowledgement Form, Electronic Communication Consent Form, Billing Information, Join Our Email List, and Areas of Concern Questionnaire.

Updated December 2021.

Intake Forms Packet – Child Client [Under 18 years]

Intake Forms Packet includes: Child Client Registration Form, Appointment Reminder Form, Consent to Treatment – In-Person Therapy, Consent to Treatment – Online Therapy, Notice of HIPAA Policies and Practices Acknowledgement Form, Electronic Communication Consent Form, Billing Information, Join Our Email List, and Areas of Concern Questionnaire.

Updated December 2021.

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