Registration Forms

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          

COVID-19 Health Crisis (2 pages)