Downloadable Forms

Here are a number of forms that you can view and print. Simply click on the title, and the form will open in a new window.

Adult Intake Evaluation Form

Adolescent Client Intake Form

Child Intake Form

Authorization for Treatment

Notice of Privacy Practices

Child Therapy Agreement

Authorization to Disclose Medical Records

In order to view these PDF files, you must have a PDF reader program installed.  If you do not already have such a reader, you can download a free reader at Adobe’s website:

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