The following is a list of patient information forms.
I am a new therapy client
- New Patient (pdf)
- Outpatient Services Contract (pdf)
- "HIPAA" Acknowledgement Signature Page (pdf)
- "HIPAA" Short Form (pdf)
I am a new testing client
- New Patient (pdf)
- Outpatient Services Contract (pdf)
- Child History Questionnaire (pdf)
- Adult History Questionnaire (pdf)
- Consent for Evaluation (pdf)
- "HIPAA" Acknowledgement Signature Page (pdf)
- "HIPAA" Short Form (pdf)
- 13 year old Release of Information Consent (pdf)
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