If you are a new patient, please complete the following forms and bring them with you to the initial appointment:
Adults: the Informed Consent Agreement; the Adult Patient Information Form; and either the insurance or private-pay Financial Responsibility Agreement.
Adolescents: the Informed Consent Form, the Adolescent Patient Information Form, the relevant Financial Responsibility Agreement Form, plus the Adolescent Agreement for Psychotherapy.
Right click on the PDF icons beside each description to open the forms I have described.
Patient Information Form – Adult
Patient Information Form – Adolescent
Informed Consent Agreement
Adolescent Agreement for Psychotherapy
An agreement between parents and adolescents about the rights of minors to confidentiality in treatment. Please discuss this with your adolescent (or parent) and bring a signed copy to the first session, in addition to the signed copy of the Informed Consent Agreement described above.