INTAKE FORMS

New client information & consent to treatment

     To be completed for all new patients

Privacy notice

     To be completed for all new patients

Adult – clinical summary

     To be completed by patients over the age of 18

Adult – permission to release information

     To be completed by patients over the age of 18

Minor – clinical summary

     To be completed by the parents or guardians of children under age 18

Minor – permission to release information

     To be completed by the parents or guardians of children under age 18