All necessary practice forms can be completed and submitted online by clicking on the titles below and following the links. Any and all information submitted through these web forms will be transmitted using encryption, stored securely by the therapist, and accessed only by the therapist.
• Release of Information
Note: In addition to healthcare providers, this form can also be used to authorize communication between the therapist and collateral contacts such as spouses, family members, friends, or employers.
• Consent for Treatment of Minor Clients
Required if the client is under the age of 18
Note: Parents/guardians will need to determine among themselves who will be the designated Primary Point of Contact, prior to submitting this form. However, all parents/guardians need to complete the form separately.
• Financial Responsibility Form
Required if someone other than the client is paying for therapy
Note: This form should only be completed by one person. If this involves a client who is a minor, parents/guardians will need to determine among themselves who will be completing this form.
• Consent for Treatment Using EMDR
• Sliding Scale Agreement
Complete only if applicable
Note: Both the client (if an adult) and the financially responsible party (if someone other than the client) should complete this form separately.
• Audio/Video Recording of Sessions
• Adverse Childhood Experiences questionnaire
• GAD-7
Anxiety screening tool
• PHQ-9
Depression screening tool
• PCL-5
Traumatic stress screening tool
• BOCS
Screening tool for obsessions and compulsions
• Session Check-In Form
• Therapeutic Progress Review Form
• ASRS v1.1
ADHD screening tool
• RAADS-R
Autism Spectrum Disorder screening tool for adults
• Good Faith Estimate
• Mood Disorder Questionnaire
