Forms

To better provide you with fast and quality service, please complete our forms below before your next visit.

Forms

Adult Intake Form

Authorization for Family Member, Personal, or Representative

Obtain or Release Protected Mental Health Information

Youth Intake Form

Formulario de Admisión para Adultos

Formulario de Admisión para Niños y/o Jovenes

Therapy Treatment Plan Signature | Firma del Plan de Tratamiento de Terapia

Download Forms:

Adult Intake Packet

Authorization for Primary Care Doctor

Authorization for Family Member

Client Handbook

Document Request Form

Instructions for Telehealth

Records Release Authorization

Youth Intake Packet

Descargar Formas

Autorización para divulgar Información

Formulario de Admisión para Adultos

Formulario de Admisión para Niños

Instrucciones para uso de Teleconsulta

Guia para el Cliente

Solicitud para Documentación

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