New Patient Forms

Please print and complete the new patient forms below and bring them with you to your appointment. If you don't have access to a printer, you may come in before your appointment to fill them out. Please arrive at least 45 minutes prior to your scheduled appointment time to complete the forms.

  1. New Patient Info

  2. Information, Authorization, and Consent to Treatment

  3. Electronic Communications Agreement

  4. Biopsychosocial History (Teens and Adults) — OR — Child Developmental History (12 and under)

  5. Consent to Release Confidential Information — Complete this form if we will be coordinating your care with another provider, a lawyer, a probation officer, a family member, etc.

Professional’s Referral Program

Choose the appropriate referral packet below.