Please be aware! Due to confidentiality laws, if you are the parent, relative, or caregiver of a client who is eighteen (18) or older, the client will need to call to schedule/reschedule appointments, and will need to be the person to fill out most forms. We cannot verify any appointment information (or even confirm an appointment) without a documented release form from the client.
If you are interested in scheduling please complete our New Client Request form (link below). 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 Forms (Adult)
- Informed Consent for Outpatient Services
- Adult Intake
- ROI – Self (NPER)
- Release of Information
- HIPAA Privacy Notice
- Informed Consent for Forensic Services
New Client Forms (Child)
- Informed Consent for Outpatient Services
- Child Intake
- ROI – Parent/Legal Guardian (NPER)
- Release of Information
- HIPAA Privacy Notice
- Informed Consent for Forensic Services
Questionnaires
- Teacher Questionnaire
- Parent Questionnaire
- Questionnaire (6 to 18 Years)
- Child Symptom Checklist
- SCARED – Child Version
- SCARED – Parent Version
- SCAARED
- CES-D – Child Version
- CES-D – Parent Version
- Zung Self-Rating Depression Scale
- Zung Self-Rating Anxiety Scale
- The Ritvo Diagnostic Scale – Revised
- NPQ – Long Form
- ASRS-v1.1
- WURS
- OCI-R
- ChOCI-R-S
- Current Behavior Scale – Partner Informant
Resources
- Community Resources – Inclusion on this list does not imply an endorsement.