Forms & Policies
For Minors Under Age 18 or Adults with a Guardian
New Patient Information with Parent or Guardian
Note: the links above are for PDF files. Please click the link you need, then print the form out on paper and sign it with a pen. Do not attempt to open them as documents and make changes to them electronically, as they will not be valid.
Disclosures that Do Not Need to be Signed
HIPAA Notice of Privacy Practices
Notice for the No Surprises Act: You have the right to receive a good faith estimate of expected charges.
Optional Screening Assessments
Your provider may ask you to fill out one or more of these forms. If that is the case, please print it, fill it out, scan it, and send it back to us through our patient portal. If you do not have access to a scanner, please discuss other options with your provider.
PHQ-9: Patient Health Questionnaire
GAD-7: Generalized Anxiety Disorder Screener
ASRS: Adult ADHD Self-Report Scale Symptom Checklist