Forms

Your First Visit

At or before an initial meeting, each client is asked to complete several forms to facilitate the intake interview. Among these will be a form concerning privacy and confidentiality adherence and limitations. As of January 1, 2022, clients who are not seeking therapy services through their health plan’s network, are also entitled to a Good Faith Estimate for the cost of anticipated care.

If you have scheduled an in-person intake, approximately 15 minutes upon your arrival will be used to review and complete any remaining registration paperwork prior to meeting with your therapist. To reduce the number of forms to fill out onsite, please print and complete those available below in advance, and bring them with you to the first meeting. Clients are requested to avoid emailing them, given the possibility of insecure electronic transmission.

Registration Form A  Reg. Form B  Telehealth  Good Faith Estimate  |  Privacy Notice