Adults
Please print and fill out these 4 forms for our first meeting. The intake form is to be filled out by each person. The other forms have room for multiple signatures and can be shared. The HIPAA Notice of Privacy Practices can be read below (no need to print).
Intake- Adult
Professional Disclosure Statement (PDS)
Consent to Treatment
Financial Agreement
Minors
Please print and fill out these 5 forms for our first meeting. The HIPAA Notice of Privacy Practices can be read below (no need to print).
Intake- Minors
Professional Disclosure Statement (PDS)
Consent to Treatment
Financial Agreement
Child Agreement
Adoption Preparation Groups:
Caseworkers, please complete the first three forms for each child:
Consent for Participation
Professional Disclosure Statement (PDS)
Referral Form
Adoption Preparation Group Information Sheet