Patient Forms

We're here to help each other...

How can we support you?

If you're a new client, please complete the following forms and bring them to your first therapy session:

If you are a parent or guardian bringing a minor client for therapy, please complete the following form:

If you are utilizing insurance through Blue Shield or United Behavioral Health, please complete the following form (only one is needed) and bring it with you to your first session:

If you would like us to coordinate your care with another provider (for example, a psychiatrist, primary care physician, school academic counselor, etc.), complete this form to authorize release of psychotherapy information:

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