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All new counseling clients are required to bring their insurance card, in addition to the following completed forms:

  • Assignment of Benefits

  • Acknowledgement of NPP

  • Consent Form

  • Electronic Communications

  • Psych Release Form (if applicable)

It is recommended that a new client download and upload completed forms with them a minimum of 24 hours to their first appointment, otherwise the first portion of the initial assessment will be spent completing paperwork.  

Diagnostic & Play Therapy Forms

Clients coming in to complete a medical diagnostic or play therapy must complete all of the new client forms listed above AND this form to obtain additional information regarding behavioral observations, parental concerns, co-occurring diagnoses, and previous treatments.

Additional Privacy Information

Additional forms about your privacy, requests to inspect your file, and a privacy complaint form.

Upload Completed Forms

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