Client Forms
If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.
- Patient Agreement
- Social Media Policy
- Adult Assessment
- Child Assessment
- Couples Intake
- HIPPA Form
- Informed Consent for Telepsychology/Telehealth
- Informed Consent Checklist For Telepsychology Services
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.
If you would prefer to pay out of pocket at the self-pay rate, please mention that in your initial call and we will provide you with rates. As a self-pay person, you will be provided with a Good Faith Estimate (GFE) based on the cost of services. Please refer to the below for a comprehensive explanation.