This Page Is a Work in Progress

This page will eventually include the forms we typically ask clients to complete before their intake appointment. Our goal is to promote transparency around our practice policies before a portal is created, and to offer printable forms for individuals who prefer paper or are not as comfortable with technology.

Please note that additional forms may be provided at the time of your appointment, as everyone’s needs are unique. We also require your legal name, preferred name, phone number, date of birth, and insurance information at least 48 hours before your appointment so we can complete insurance verification.

For your security, we prefer that payment cards be added directly through your client portal or provided at the appointment. If you choose to complete a paper form instead, please know it will be securely uploaded to your portal and then immediately shredded.

Thank you for your patience as we build out this page!

Forms for Adults: 18 Years and Above

Client Based Forms:

• Client General Information Forms

• Client Insurance Form

• Client History Form (optional)

Practice Forms:

General Practice Policies

General Medication Consent

General Finani

Screening Measures (sent to all individuals at initial evaluation):

Other Additional (not always required at intake):