Registration Information and Forms for Clients Age 17 and Younger
Registration Form
Medical Condition and History
License Disclosure
Psychotherapist Patient Agreement
Protected Health Information Notice
DSM Survey Child
Authorization - Protected Health Information
Registration Information and Forms for Clients Age 18 and Older
Registration Form
Medical Condition and History
License Disclosure
Psychotherapist Patient Agreement
Protected Health Information Notice
DSM Survey Adult
Authorization - Protected Health Information
Registration Information and Forms for Clients Requesting a Psychological Evaluation
Registration Form
Medical Condition and History
License Disclosure
Protected Health Information Notice
Psychological Testing Informed Consent
Notice and Authorization-Non Covered Services