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Creating a Brighter Future,

 

Together

People Holding Hands

Helpful Forms

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

  • Client Intake Form
  • Informed Consent Form
  • Insurance Benefits Form

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

  • Release of Information Form

 

  Client Intake Form - Printer Friendly PDF Version
   Informed Consent Form - Printer Friendly PDF Version
   RELEASE_OF_INFORMATION-2018.doc- Printer Friendly PDF Version
  Insurance Benefits Form.jpg

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

Click here to view and print forms for your appointment.

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