Forms

New clients will need to fill out several forms before therapy can begin. Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don’t hesitate to contact us.

Therapy Intake Packet

This document contains the intake paperwork you will need to complete if this is your first time being seen by one of our clinicians for therapy.

LPHA Intake

This document contains the intake paperwork you will need to complete if this is your first time being seen by one of our clinicians for an LPHA Assessment for BHIS services.

Psychiatric Intake

This document contains the intake paperwork you will need to complete if this is your first time being seen by one of our psychiatric nurses for evaluation and possible medication management.

Medication Consent

This form will be utilized in the event you are prescribed medications by one of our psychiatric nurses.

Aftercare Intake

This document contains the intake paperwork you will need to complete if this is the first time entering our aftercare program.