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INTAKE FORMS to Be Completed Prior to Treatment

 

Identify the service you are seeking to determine the correct forms to print and complete prior to your first appointment.

1. Adult for Individual Therapy

 

2. Child or Teen for Individual Therapy

 

  • New Client Form

  • Child or Teen Information Form 

  • Consent to Treat a Minor

  • Receipt for Privacy Practice

  • HIPAA Authorization Form (Optional)

  • Release of Information (Optional)

3. Adult for PEERS® Social Skills Group

 

4. Mindfulness Skills Group

 

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