Please download the following applicable forms. ALL new patients will need to fill out the New Patient Form. ONLY clients seeking therapy will need to fill out the Therapist Questionnaire, and ONLY clients seeking medication management will need to fill out the Prescriber Questionnaire.
You may print and bring the forms to your first session, or you may send electronically to firstname.lastname@example.org. If you are unable to print the following forms, please arrive about 20 minutes early to your first appointment to fill out the forms in the waiting room.