Please click on the appropriate title below to download and print your form(s).
Adult Intake Paperwork
This is the registration packet that you need to complete prior to your first appointment. Be sure to complete all fields and provide signatures in the designated fields. You will be asked to present your driver’s license and insurance card at your first appointment. Please also print and complete the medication form below.
Adolescent Intake Paperwork
If you are in 8th grade and through your sophomore year in college, this is the registration packet that you and your legal guardian(s) need to complete prior to your first appointment. Spaces requiring a signature must be signed by a guardian. Please also print and complete the medication form.
Child Intake Paperwork
If your child is in 7th grade or younger, please complete this paperwork as well as the medication form below on their behalf and bring it to their first appointment. You must accompany your child to their initial appointment to provide background and developmental information.
All clients must complete this form for the initial appointment and any time that they have a medication change. This will help us keep your medications updated in our system and better serve you when consulting with other healthcare providers.
Release of Information Form
You may download, print, and complete this form if you would like another person to have limited or all access to your records. For example, you may want us to share treatment recommendations with your primary care physician, or you may want a family member to call in and schedule appointments or make payments on your behalf. In these cases, a release of information is required.