Print Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

Informed Consent (required)

Standard Intake Questionnaire (required)

Practice Policies (required)

HIPAA: Privacy Practices (required)

Alpha-Stim Form

Group Form

Authorization to Disclose Information Form

If you would like to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.