|You are highly encouraged to download the following PDF Forms, fill them out completely, and bring them in with you to your first appointment. This will streamline the registration process and allow your provider to spend more time discussing your concerns during the first appointment. To download each form, simply click on the link provided with the name of each form. Note, if you do not already have Adobe Acrobat Reader®, please click this the PDF symbol here to download a FREE VERSION of this important program.
|NAME OF FORM
| Registration Packet
|This all-in-one Registration form captures demographic information, insurance information (if applicable), discusses consent and HIPAA-privacy, and covers office policies.
|Psychosocial History Questionnaire
|This form provides an overview of clients’ personal history including a description of the presenting problem(s), psychiatric, medical, vocational, academic, and social histories.
|Release of Information Form
|This form provides an authorization for release of information.