FORMS

ADULT Packet

- Office Policies

- Informed Consent

- HIPAA Notice of Privacy

- Patient Financial

   Responsibility Agreement

- Payment Authorization

- Intake History Form

CHILD Packet

- Office Policies

- Informed Consent

- HIPAA Notice of Privacy

- Patient Financial

   Responsibility Agreement

- Payment Authorization

- Intake History Form

- Developmental Questionnaire

TELEHEALTH Consent
**You may download the appropriate intake packet by clicking on
            in one of the boxes above.
**To maximize our time together, please carefully review, complete the following forms, and bring them along with a copy of your insurance card (if applicable) to your initial appointment.