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 becoming a new client, 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.
Forms (Adult)
- Informed Consent for Outpatient Services
- Adult Intake
- Release of Information
- HIPAA Privacy Notice
- Informed Consent for Forensic Services
- ROI – Self (NPER)
Forms (Child)
- Informed Consent for Outpatient Services
- Child Intake
- Release of Information
- HIPAA Privacy Notice
- Informed Consent for Forensic Services
- ROI – Parent/Legal Guardian (NPER)
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
Resources
- Community Resources – Inclusion on this list does not imply an endorsement.