Psychologist Registration Form
Includes terms and conditions of treatment (3 pages)
Psychiatrist Registration Form
Privacy Notice (PDF - 2982k)
Individually identifiable health information (2 pages)
Privacy Notice Acknowledgment (PDF - 435k)
Acknowledgment of receipt (1 page)
Authorization Forms
Authorization for Release of Information Form (PDF - 1520k)
Authorizes release of protected information(1 page)
Informed Consent for In-Person Service Forms