Intake Adult Forms

Intake Adolescent Forms

Intake Child Forms

(13 and under)

Spanish Intake Patient Form

Spanish Intake Adult Form

Spanish Intake Minor Form

Spanish Intake Child Form

Spanish Patient Rights and Responsibilities

Spanish Informed Consent

Spanish Cancellation Copay Form

Spanish HIPAA Form

EAP FORMS

EAP Client Intake Form

EAP Client Rights and Responsibilities

MISC. FORMS

Release Form

HIPAA Form

PCP Contact Form

Psychiatrist Contact Form

Nondiscrimination Statement