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Client forms

 

Client Forms

Please print, fill out, and bring the following forms to your first session. If you are not using insurance, please complete all other sections. If you are coming with a partner, only the person filing for insurance coverage needs to fill out the forms.

General Information Form

Consent to Treatment Form

Electronic Consent Form

Health and History Form

Emergency and Non-Emergency Contact Form

Telehealth Consent Form


This form contains HIPPA information. You are welcome to print it and keep it for your records, but otherwise, it is only for reference.

HIPPA Information