| If you are a new client, please complete the following forms prior to your first therapy session. Please fax or e-mail the Initial Questionnaire 24 hours before your first appointment so that your therapist has time to review the provided information. Please bring the other forms to your first session.
If you will be participating in home and communtiy based therapeutic services, please complete the following form in addition to all of the above forms.
If you will be participating in group therapy, please complete the following forms for your group in addition to the above Credit Card Authorization form.
-
Teen Girls Self-Esteem Group
-
Teen Anger Management Group
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, school staff, etc.), please complete this form to authorize release of psychotherapy information.
|
