Forms

Click below for pdfs of forms you may be required to complete before your appointment. If you have any questions, please contact the office for instructions.

For Adults

DOWNLOAD ALL ADULT FORMS

*This download contains all forms for adult registration in one document. If your internet speed will now allow downloads of large files (276KB), please use buttons below to download them individually.

Registration Form for Adults

*see below for other forms which apply to all patients

For Children under age 18

DOWNLOAD ALL CHILD FORMS

*This download contains all forms for child registration in one document. If your internet speed will now allow downloads of large files (276KB), please use buttons below to download them individually.

Registration Form for a Child

Authorization to Provide Psychological Care to Minors

*see below for other forms which apply to all patients

For All Patients

Financial Agreement

Non-Cancellation of Appointments

Patient Consent / Privacy Rights

Practice Policies

Practice Policies Patient Agreement

Signature on File Card

Telephone Contact

Forensic Psychologist Disclaimer

Authorization to Disclose Protected Health Information