Forms

Please choose either the Fill Out Online option or Print PDF option for any of the forms below! If you choose to Print PDF, please fill it out on your computer, save it, and then upload it at the bottom of this page!

General Adult Intake Form – Fill Out Online or Print PDF

General Child Intake Form – Fill Out Online or Print PDF

Client – Clinician Agreement with HIPAA – Fill Out Online or Print PDF

DFS Adult Intake Form – Fill Out Online or Print PDF

DFS Child Intake Form – Fill Out Online or Print PDF

DFS Couple Intake Form – Fill Out Online or Print PDF

LF Adult Intake Form – Fill Out Online or Print PDF

LF Child Intake Form – Fill Out Online or Print PDF

Gibson Intake Form – Fill Out Online or Print PDF

Karrh Patient History Form – Fill Out Online or Print PDF

Crim – Counseling Information and Consent Form – Fill Out Online or Print PDF

Credit Card Authorization Form – Print PDF

Release of Information Form – Fill Out Online or Print PDF

Teletherapy Informed Consent – Fill Out Online or Print PDF

Biopsychosocial Assessment – Fill Out Online or Print PDF

GAD-7 Survey – Fill Out Online or Print PDF

MDQ Survey – Fill Out Online or Print PDF

PHQ9 Survey – Fill Out Online or Print PDF

TMS Intake Form – Fill Out Online or Print PDF

TMS Medical History Form – Fill Out Online or Print PDF

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