Adolescent Intake Form

(completed by adolescent)

 

Adolescent Information Sheet

(completed by parents/legal guardians)

 

Adult Patient Information Form

 

Authorization to Use or Disclose Protected Health Information

 

Automatic Credit Card Billing Authorization Form

 

Collateral Participant Form

 

HIPAA Notice of Privacy Practices Form

 

Informed Consent / Psychological Services Contract

 

Teletherapy Consent Form