Client Forms

New clients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

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
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.
Clinical Intake 9-15-18.pdf
Adobe Acrobat document [3.2 MB]
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.
LPHA Intake.pdf
Adobe Acrobat document [5.5 MB]
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.
Psychiatric intake.pdf
Adobe Acrobat document [4.2 MB]
Medication Consent Form
This form will be utilized in the event you are prescribed medications by one of our psychiatric nurses.
Medication Consent Form Mar 2015.pdf
Adobe Acrobat document [271.9 KB]
Aftercare Intake
This document contains the intake paperwork you will need to complete if this is the first time entering our aftercare program.
Aftercare Intake - Mar 2015.pdf
Adobe Acrobat document [398.8 KB]
AfterCare Consent Form
Aftercare - consent form - 7-13.pdf
Adobe Acrobat document [30.8 KB]
Client Rights - Aftercare
Client Rights -Aftercare.pdf
Adobe Acrobat document [208.2 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.