If you are a first time client, either complete the demographics online or please print and complete the form with all your personal and insurance information and bring it to your initial session.
Initial Adult Neuropsychological Evaluation Intake
If you are an adult age 18 or above and coming in for a neuropsychological evaluation, please complete the initial intake form prior to your first session.
Neuropsychological Evaluation Intake
Please complete the initial child/adolescent intake form for a child under the age of 18-years coming in for a neuropsychological evaluation.
Telemental Health Consent
If you will be engaging in any remote health services with any of our providers please complete the following consent form.
Release of Information
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.
Confidentiality Limits and Cancellation Policy
Please print, review, and sign the limits of confidentiality and cancellation policy forms and bring it to your initial therapy or evaluation session.
Adobe Acrobat Reader
You can download Adobe Acrobat Reader for free.
*All our online submitted forms are HIPAA compliant, and we utilize strong security standards to makes sure all private health information is secure and protected when transmitted online.