Patient Forms

Patient Forms

Due to the HIPAA (Client Privacy) regulations, your medical information cannot be sent to us online.

Just download, fill out, and bring them with you. All forms are Adobe Acrobat Reader files (.pdf) (Download Adobe)

For adults seeking individual therapy:

For adults seeking couples therapy:

For adolescent therapy: (12-18 years)

For child therapy: (under 12 years)

Release of Information form: