New Client Paperwork

Thank you for scheduling an initial evaluation appointment. Please print the document(s) below that corresponds to your type of appointment. Bring the completed paperwork to your first appointment. If the appointment is for a Middle or High School student, please have your child fill out a confidential Adolescent Questionnaire.

If you or your child are under the care of a psychiatrist or medical doctor for psychiatric medications, please provide an Authorization for Release of Information which will allow me to consult with other members of your treatment team.

Important Note for Divorced Parents: You must bring a copy of your Custody Order or Decree to your child’s first session. I am required to verify that you are authorized to make medical decisions for your child. Without this proof, I will have to reschedule the evaluation and you will be charged for a missed appointment.