Forms

Please download, print and complete the following forms, then bring them to your first appointment:

Intake-Questionnaire

HIPAA Privacy Notice

Receipt of Privacy Practices

Informed-Consent

Please download, print and complete the following form, then bring it to your appointment if your child is coming in for Diagnostic Testing:

Developmental-Questionnaire

Please download, print and complete the following form, then bring it to your appointment if your child is coming in to be assessed for one of the Anxiety Clinic groups:

Developmental-Questionnaire

Adolescent Anxiety Clinic Card on File Form

Please download, print and complete these forms if you would like your therapist to work with other professionals on your behalf:

Primary-Care

Authorization-of-Release