Forms

Below are links to the adult (13+ years of age) and child (0-12 years of age) intake and consent form packages. The intake portion of the respective form should be completed prior to the start of your initial consultation to avoid delays in starting the intake process. This intake form will provide a baseline of information that will start our conversation for each concern to be further explored. The consent/policy portion of each document should be reviewed prior to your first visit, however I request that you reserve signing them until we have discussed their content and I have answered any questions you may have. If you choose, you can print the appropriate form and complete it ahead of time, or you can arrive to the clinic 15-minutes prior to the start of your visit to complete in the office.

Adult (13+) Intake and Consent Forms (pdf)

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Child (0-12) Intake and Consent Forms (pdf)

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