Patient Forms
The following is a list of required new patient forms.
New Therapy Client Forms
- Patient Information Form (pdf)
- HIPAA Acknowledgement (pdf)
- Outpatient Services Contract (pdf)
- Parent Consent to Give Up Access to Their Child’s Mental Health Records (pdf)
New Testing Client (over 18) Forms
- Adult History Form (pdf)
- Patient Information Form (pdf)
- Outpatient Services Contract (pdf)
- Consent for Evaluation (pdf)
- HIPAA Acknowledgement (pdf)
New Testing Client (under 18) Forms
- Child and Adolescent History Form (pdf)
- Patient Information Form (pdf)
- Outpatient Services Contract (pdf)
- Consent for Evaluation (pdf)
- HIPAA Acknowledgement (pdf)
