New Clients

If you are not able to complete the electronic forms, or prefer to print the forms and fill them out by hand, please read these forms :

Client Policy

Communication Policy

HIPAA Information

Once you are done reading the above information, please print and fill out the additional forms for either Adult clients or Minor clients.
Please bring these completed forms to your first session.

Adult clients – forms to fill out

Release of Information Form

Patient Health Questionnaire

Generalized Anxiety Disorder Survey

Adult CAGE Survey

Client Signature Form

Telehealth Informed Consent Form

MINOR CLIENTS – FORMS TO FILL OUT

Consent to treat Minor

Release of Information Form

Minor CAGE Survey

Safe Harbor Agreement

Client Signature Form

Telehealth Informed Minor Consent Form

Fees: The fee is $150 per hour and psychological testing is billed on an hourly basis plus the cost of the test. An initial assessment session is required, and is billed at $160. We are currently a provider for all insurance companies.

If you need to cancel an appointment, we ask that you provide 24 hours notice by calling Monday through Friday. Please respect that we reserve this time for you.