To save time, prior to your first appointment, please download and complete the following forms. Please note whether the form you download is the child or adult consent form.
child_consent_to_treatment_revised_2020.pdf | |
File Size: | 160 kb |
File Type: |
clinical_neurodevelopmental_history_interview_2020.pdf | |
File Size: | 463 kb |
File Type: |
hippa_1_.doc | |
File Size: | 35 kb |
File Type: | doc |
adult_consent_to_treatment_2020.pdf | |
File Size: | 155 kb |
File Type: |
adult_history_questionnaire.pdf | |
File Size: | 173 kb |
File Type: |
authorization_for_release_of_information.pdf | |
File Size: | 141 kb |
File Type: |
telemental_health_informed_consent_edited_2-22.pdf | |
File Size: | 200 kb |
File Type: |