Patient Forms
In order to save time at your first appointment, click on the links below to fill out your forms digitally. Submit all forms online and bring your insurance cards with you when you come for your first appointment.
Please note that our office needs to receive digital forms at least 48 hours prior to appointment day to give us time to process them. Patients who fill out digital forms the same day as their appointment may need to be rescheduled.
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Therapy Adult New Patient Info
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Therapy Child/Adolescent New Patient Info
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Therapy Adolescent Supplemental Information
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Medication Management New Patient Info
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Terms of Care / No Show Agreement
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Telehealth Informed Consent
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PHQ9/GAD7
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Release of Information
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Medication Contract (for medication patients only)
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Testing Contract (for testing patients only)
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Insurance Worksheet for Psych Testing - Online Form
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Insurance Worksheet for Psych Testing - PDF (printable)
Helpful Links and Handouts
If you are needing some extra grounding or encouragement, check out these excellent resources. You’ll be glad you did!
Alzheimer's
If you or a loved one has been diagnosed with Alzheimer's, it can be overwhelming and heartbreaking. Below are some guides to help you answer common initial questions. The links are provided by Joan Martin, a Community Outreach and Senior Advocate. (800 294 8481)
From Caring.com:
Helping a Child Deal with Suicide
Is there a child in your life that has lost a loved one to suicide? Our own therapist Susan Dannen helped edit a book that can be a valuable resource for you. Click the link below to find it on Amazon.
Covid-19 Resources
Assisted Living For People With Mental Health Disorders
Assisted Living is a community organization that prioritizes helping those who are disabled and the elderly fully enjoy their healthy years and age gracefully. Our organization creates and publishes comprehensive, unbiased, free web-based resources. We have been featured on the Parkinson’s Foundation, US Department of Health and Human Services - Health Finder, Global Healthspan Policy Institute, and is referenced by many governmental agencies and organizations across the web.
https://www.assistedliving.org/assisted-living-for-people-with-mental-health-disorders/.
Additional Mental Health Care Resources
Articles and Other Resources