Preparing for your first appointment is easy!
If you are bringing a senior with you for their first appointment, and you are the Power of Attorney, please download and fill out all the forms below and bring them with you to the first appointment.
If you cannot download, complete these forms, and bring them with you to your first appointment you may fill out copies at our offices.
Please allow extra time during your first visit to fill out these forms.
Client Registration
If you are an adult , please fill out this form and bring it to the first appointment.
Consent for Treatment
Powers of Attorney will fill out this form and remit it to our offices as soon as possible.
Payment Authorization
All clients must fill out this form and bring it with them to their first appointment.
HIPAA Notification
Your rights under the Health Information Portability and Accountability Act
HIPAA Notification
Your rights under the Health Information Portability and Accountability Act
Download and sign the ‘Teletherapy Consent’ if you intend to take part in teletherapy
If you are having trouble or questions you may call our offices at: 888-261-2178
Don't Be Shy. Get In Touch.
Contact us today to schedule your first appointment!