Form Library

sampleFor your initial session please print the correct forms for your visit and complete them as fully as possible. This will save you time and give you more opportunity to reflect on your answers.

All first time patients should complete 4 of the first 5 forms. If the patient is between 14 and 18 years old they should also complete the Treatment Agreement. The other forms are optional or if you should need them later. We understand this is a great deal of information. All of this is either required by insurance companies or by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 

 

Adult Registration Form (used if patient is over 18 years old)

Child Registration Form (used if patient is under 18 years old)

HIPPA Notice Form

Social Media Policy

Treatment Agreement (for adolescent patients age 14-18)

Treatment Agreement Adult

Tricare Letter of Referral (For LPC)

Standard Release of Information