If you have made an appointment you may be directed to download a form from this site. Please scroll down to the form you need, print it, complete the form and bring it in with you when you come in for an appointment.

 Forms for Children/Adolescents

Child/Adolescent Intake Form
Patient Health Information Consent (PHI)
Informed Consent for Treatment
Patient Care Communication Form
Members Rights and Responsibilities Statement

 
Forms for Adults

Adult Intake Form
Patient Health Information Consent (PHI)
Informed Consent for Treatment
Patient Care Communication Form
Members Rights and Responsibilities Statement

Maintaining your privacy and confidentiality is very important to the process of counseling. All of the information you provide to us will be protected in the same careful way as in the counseling room. 

Special Note:  You will need Adobe Reader to view the forms download reader at www.adobe.com .