New Patient Forms

When we make an initial appointment with a prospective client, we typically send out a packet of forms for you to complete.  However for the convenience of those who would prefer to download these forms from this website, this will also be available.  If you would like to choose this option, please select from the options below.

1. New patient information forms (each one to be completed by every client):

   Checklist for Initial Appointment Sheet

   Patient Identification Sheet

   Client Information Form

2. Clinical Questionnaires (select the appropriate one)

   Pre-Counseling Questionnaire (for most adults coming for individual concerns)

   Marital Pre-Counseling Questionnaire (for each partner coming to address relationship concerns)

   Adolescent Pre-Counseling Questionnaire (for adolescents)

   Parent of Children Questionnaire

   Parent of Adolescent Questionnaire

   Child History Form (use only when specifically directed by your therapist)

3. Release of Information Form (enabling us to communicate with a referral source or your medical professional about your case – optional, but recommended)

   Authorization to Release Information Form