Client Resources

Forms & Questionnaires

Most of our forms will be sent via our client portal. If you need help accessing this, please email us at [email protected].

New Clients

Please complete our New Client Request form. This form does not guarantee an appointment. Our staff will review the information with our providers and will contact you if we are able to schedule.

New Client Request

Intake Forms

Client Portal
Consent for Services
Notice of Privacy Practices
Adult Intake Form

Release of Information

*Once we have a Release of Information (ROI) form on file, we are able to send information to the person you put on the form. Please complete separate forms for each clinic or provider.

Release of Information
Release of Information (Self)
Release of Information (Parent/Legal Guardian)

Questionnaires

Please do NOT complete these forms unless you are told to do so.

Teacher Questionnaire
Child Symptom Checklist
SCARED – Child Version
SCARED – Parent Version
CES-D – Child Version
CES-D – Parent Version
Autism Questionnaire (6–18 Years)
Adult Personality Questionnaire

Need help with a form?

Our team is happy to assist you with any questions about forms or the client portal.

[email protected]