If you are new, please feel free to fill out these intake forms. All forms are to be completed prior to the Initial Evaluation.
- Personal Data Registration Form
- HIPAA Notice for Policies and Practices
- HIPAA Billing Consent Form
- Office Policies and General Information
- Informed Consent for Telepsychology
- Personal History
- Photo Copy of Your Driver’s License and Health Insurance Card
- Good Faith Estimates
If you think that you would like to coordinate your session with another provider, please fill out the following form.
Have some questions about first. You can always reach out here.