Forms
Privacy Notice
Click here to for a copy of our HIPAA Privacy Notice
Online Electronic Forms
- Intake form to complete prior to your first appointment.
- Secure Message and Secure File Transfer Form
Paper Forms
Telepsychology Informed Consent Form. Please complete this form if you wish to engage in secure video sessions or phone sessions.
If you need information to be released to a third party, the Release of Information Form is available below.
Please note our Cancellation Policy
All cancellations must be made 24 hours prior to your scheduled appointment. Failure to give 24 hour notice or not showing up for your appointment will result in a $40 fee. If you call and do not reach someone (such as nights and weekends) please leave a voicemail so that we have a record of your call.
Forms in PDF format
and may be viewed and printed from Adobe Reader. If you do not
have this viewer it is available from the Adobe website.