Forms

Prior to our first meeting, please print and fill-out the following forms and bring them to your first sesssion. You can type in your answers on-line and print them off, or print them first and then fill them in by hand.

Intake Form

Click here  for the Intake Form.

Download the MS Word document, click Autobiographical Intake Form.

 

HIPAA / Contract Form

Click here for the HIPAA / Contract Form

Note: For privacy and HIPAA reasons, we can not accept forms via the Internet or Email. Please download the files, fill them out completely, print and bring them with you to your initial appointment. Remember that e-mail is not secure or confidential, so hand carrying the printed forms is safest.

(If you need a word processing program, try the free software set available here: http://download.openoffice.org/. This program will open and handle most types of word processing documents and includes other applications as well, including spreadsheet, presentation and more.)

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