Top
Search
Make Good Use of Your Sidebar

Use this space for anything from simple blocks of text to powerful widgets, like our Twitter and Flickr widgets. Learn more.

To access Website Management, hit the 'esc' key or use this Login link.

Blog Index
The journal that this archive was targeting has been deleted. Please update your configuration.
Navigation

Forms

 Intake Form 


Notice of Privacy Practices (HIPPA)   

 

Release of Information Form  


Click on the form name to open an online-completable form.

Fill out, print, and sign and date.

Please bring a completed Intake Form and a Notice of Privacy Practices to your first session.

 

You will need Adobe Reader to open and complete these forms. If needed, you can download it here for free: