Forms & Client Information

New clients are required to review and sign certain forms at the time of their initial appointment. When you schedule your initial evaluation, our support staff email you a link to create a Client Portal account in our system in order to review and electronically sign the required forms.

If you prefer, you also have the option to obtain this information and the admission forms prior to your initial appointment by downloading and printing the forms below. You must bring the forms you are required to complete with you to your initial appointment. If you do not wish to review and download these forms now or complete them through your Client Portal account, you must arrive at least 30 minutes prior to your initial appointment and complete them at that time.

(Please review the instructions below and click on the forms to download and print.)

We require all new clients to complete and sign the following Registration and Consent forms as part of our admission process. The forms in the Client Registration Packet must be brought to your initial appointment.  

In order to give your psychotherapist some background information about your problems, all new clients are asked to complete a history form. Please bring the following forms with you to your initial appointment.

Adult clients are asked to complete the Family History Form.

Parents/guardians of children and adolescents who are seeking treatment are asked to complete the Child-Adolescent History Form.

If you wish to release information or allow us to obtain information regarding your care from another healthcare provider or person, please complete the following Release of Information form and bring it to your appointment.

Release of Information

For more information or if you have questions, please call our clinic at 262-284-5789.