client forms

Individual Client Forms:

Please complete the following forms prior in preparation for your session. You may access these through your Patient Portal on our electronic medical record - Simple Practice. Or, you may access the forms in pdf format on this webpage to print, complete, and bring with you to your in-person session. Click the buttons below to access the forms.

  • New Client Registration Form

  • HIPAA Form

  • Release of Information

    • Emergency Contact​

    • Any providers you wish us to collaborate with

  • Credit Card Authorization Form

  • Practice Policies

  • Good Faith Estimate (GFE) Form 

Group Client Forms:

Please complete the following forms in addition to the individual client forms, prior to the first group session. You may access these through your Patient Portal on our electronic medical record - Simple Practice. Alternatively, you may access the forms in pdf format below to print, complete, and bring with you to your in-person session. 

  • Group Registration Form

  • Release of Information - for individual therapist​​

  • Group Agreement

  • ​TTRPG Forms (D&D groups only)

    • Session Zero

    • X-Card

    • Character Sheet​

GROUP FORMS UNDER CONSTRUCTION

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