Patient Intake Forms
Please download and complete the following forms prior to your initial appointment to help us provide you with the best possible care.
Required Documents
We look forward to meeting you. Filling out these forms in advance helps ensure your first session is focused entirely on your care.
Intake Form
New patient registration and medical history questionnaire.
Release of Information Form
Authorization to share or receive medical records from other providers.
HIPAA Information and Consent Form
Privacy practices and patient rights regarding medical information.
ADHD Questionnaire
Standardized assessment for evaluating symptoms and history.
Insurance Opt-Out Agreement
Agreement for patients choosing private pay options.
No Show Policy
Policy regarding appointment cancellations and missed sessions.