Before your/your child's initial evaluation, I will need you to fill out, sign, date, and send in (by mail,  email, fax or carrier pigeon) the following:

Background Information Form (not required if you are transferring from Tri-County)

The Treatment Agreement is a required form that specifies policies related to payment, confidentiality, cancellations, and much more. There are separate forms for treatment agreement for minors and treatment agreement for adults

Please read the Notice of Privacy Practices and sign the acknowledgement.  

Release of Information authorizations for any current or recent mental health providers, your pediatrician or primary care doctor, and your school.  Each person or organization gets their own form.  Children 14 and over should also sign the release of information forms.

The Release of Information documents will need to be re-authorized with your signature annually